Individual provider Active NPI

Arthur Belanger, DPM

  • Podiatrist
  • Johnson City, TN
National Provider Identifier
1083949077
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
688 Issued in TN
Practice address
3019 Peoples St # Condo300
Johnson City, TN 37604-1977
Phone
(423) 461-2100
Fax
(423) 461-2199
NPI assigned
Oct 8, 2009
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 688 TN Primary

Addresses

Primary practice location

3019 Peoples St # Condo300
Johnson City, TN 37604-1977

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093

Other practice location 1

438 E Vann Rd
Suite 301
Greeneville, TN 37743-7202
Phone (423) 278-1665

Other practice location 2

215 E Watauga Ave
Johnson City, TN 37601-4629
Phone (423) 461-2100

Other identifiers 3

IdentifierTypeStateIssuer
P00990216OtherTNRR MEDICARE
1525320MedicaidTN
4304037OtherTNBCBS OF TN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abelanger105431@balladhealth.medalliesdirect.net Direct Takoma Regional Hospital Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000623 TN Practitioner - Podiatry 4082885454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

3019 Peoples St
Unit 300
Johnson City, TN 37604-1978
Phone (423) 461-2100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of nail tissue152
Removal or shaving of skin growth53
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group, PC Podiatrist CurrentSince Aug 28, 2022 Accepting new patients
Holston Medical Group, PC CurrentSince Aug 14, 2022 Accepting new patients
Holston Medical Group PC CurrentSince Nov 6, 2020 Accepting new patients
Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services Past Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

3019 Peoples St
Unit 300
Johnson City, TN 37604
Phone (423) 461-2100

105 W Stone Dr
Ste 4B
Kingsport, TN 37660
Phone (423) 578-1560

Interoperability endpoints

  • Direct secure messaging: arthurbelanger@hmgpath.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1083949077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2093",
            "fax_number": "423-390-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 PEOPLES ST # CONDO300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041977",
            "telephone_number": "423-461-2100",
            "fax_number": "423-461-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Vann Rd",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-278-1665",
            "fax_number": "423-278-1662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Watauga Ave",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376014629",
            "country_code": "US",
            "telephone_number": "423-461-2100",
            "fax_number": "423-461-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00990216",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525320",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4304037",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abelanger105431@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Takoma Regional Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3019 Peoples St # Condo300",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376041977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.