Individual provider Active NPI

Adrian David Bellido Jr., PA

  • Medical Physician Assistant
  • Palm Springs, FL
National Provider Identifier
1073676235
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102649 Issued in FL
Practice address
2720 10TH Ave N Ste 100
Palm Springs, FL 33461-3100
Phone
(561) 540-4446
Fax
(561) 540-4430
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102649 FL Primary

Addresses

Primary practice location

2720 10TH Ave N Ste 100
Palm Springs, FL 33461-3100

Mailing address

158 Catania Way
Royal Palm Beach, FL 33411-4314
Phone (561) 795-2669

Other identifiers 1

IdentifierTypeStateIssuer
2927942 00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000033 FL Practitioner - Physician Assistant 1355444225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

Practice addresses (Care Compare)

225 S US Hwy 1
Tequesta, FL 33469-2701
Phone (561) 747-4464

2720 10TH Ave N
Suite 100
Lake Worth, FL 33461-3100
Phone (561) 540-4446

328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 626-4878

525 S Federal Hwy
Deerfield BCH, FL 33441-4100
Phone (954) 421-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mecnb, LLC CurrentSince Apr 1, 2011 Accepting new patients
Mecnb, LLC CurrentSince Apr 1, 2011 Accepting new patients
Helix Virtual, Inc Past Accepting new patients
Miami Hand Center, PL Past Accepting new patients

Locations

750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181

2311 10th Ave N
Ste 14
Lake Worth, FL 33461
Phone (561) 540-4446

2720 10th Ave N
Ste 100
Palm Springs, FL 33461
Phone (561) 540-4446

2720 10th Ave N
Palm Springs, FL 33461
Phone (561) 253-0158

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAAFBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1073676235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CATANIA WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114314",
            "telephone_number": "561-795-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 10TH AVE N STE 100",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613100",
            "telephone_number": "561-540-4446",
            "fax_number": "561-540-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIDO",
        "first_name": "ADRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927942 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.