Active NPI
Praveen Belur, M.D.
- Pulmonary Disease Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- T0718
- Practice address
- 4458 Medical Dr Ste 505
San Antonio, TX 78229-3748 - Phone
- (210) 690-7400
- Fax
- (210) 690-7405
- NPI assigned
- May 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A146180 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A146180 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 146180 | CA | |
| Pulmonary Disease Physician | 207RP1001X | T0718 | TX | Primary |
Addresses
Primary practice location
4458 Medical Dr Ste 505
San Antonio, TX 78229-3748
Mailing address
1101 Van Ness Ave Ste 1120
San Francisco, CA 94109-6919
Phone (415) 600-6520
Other practice location 1
1200 N State St
Los Angeles, CA 90033-1029
Phone (323) 226-7556
Other practice location 2
1101 Van Ness Ave Ste 1120
San Francisco, CA 94109-6919
Phone (415) 600-6520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PB3232267556 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of South Carolina School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 522-3700
Hospital & facility affiliations
- Highland Hospital
- Alameda Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146180 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Ips LLC | Pulmonary Disease | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768
4458 Medical Dr
Ste 505
San Antonio, TX 78229
4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181
Interoperability endpoints
- pbelur49434@alamedahs.direct-ci.com
Organizations & group practices 5
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1629368535
-
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Alameda, CA
- NPI 1831529049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1083091771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 VAN NESS AVE STE 1120",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096919",
"telephone_number": "415-600-6520",
"fax_number": "415-447-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4458 MEDICAL DR STE 505",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293748",
"telephone_number": "210-690-7400",
"fax_number": "210-690-7405"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "323-226-7556",
"fax_number": "323-226-2657",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Van Ness Ave Ste 1120",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941096919",
"country_code": "US",
"telephone_number": "415-600-6520",
"fax_number": "415-447-6322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELUR",
"first_name": "PRAVEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A146180",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A146180",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "146180",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "T0718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PB3232267556",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.