Individual provider Active NPI

Elliot Michael Belenkov, M.D.

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1093785396
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
162523 Issued in NY
Practice address
178 E 85TH St
4 Floor
New York, NY 10028-2119
Phone
(212) 472-5500
Fax
(212) 288-8094
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 162523 NY Primary

Addresses

Primary practice location

178 E 85TH St
4 Floor
New York, NY 10028-2119

Mailing address

178 E 85TH St
4 Floor
New York, NY 10028-2119
Phone (212) 472-5500

Other identifiers 2

IdentifierTypeStateIssuer
01064135MedicaidNY
EB013E2310OtherNYEMPIRE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000826 NY Practitioner - Medical OncologyPractitioner - Internal Medicine 4082508379 Reassigns benefits to 1 organization
Practice locations: New York, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
162523NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2016 Accepting new patients
New York University CurrentSince Jan 1, 2016 Accepting new patients
New York University Past Accepting new patients

Locations

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

902 Quentin Rd
Fl 1
Brooklyn, NY 11223

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ebelenkov119590@nyumc.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1093785396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 E 85TH ST",
            "address_2": "4 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282119",
            "telephone_number": "212-472-5500",
            "fax_number": "212-288-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E 85TH ST",
            "address_2": "4 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282119",
            "telephone_number": "212-472-5500",
            "fax_number": "212-288-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELENKOV",
        "first_name": "ELLIOT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "162523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01064135",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "EB013E2310",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.