Individual provider Active NPI

Henry Patrick Bellutta, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1114026911
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174840 Issued in NY
Practice address
102 E 22ND St
Suite1
New York, NY 10010-5404
Phone
(212) 420-9877
Fax
(212) 420-9826
NPI assigned
Sep 21, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 174840 NY Primary

Addresses

Primary practice location

102 E 22ND St
Suite1
New York, NY 10010-5404

Mailing address

102 E 22ND St
Suite1
New York, NY 10010-5404
Phone (212) 420-9877

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
I20060501000592 NY Practitioner - Internal Medicine 3072523323 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 E 22ND St
Suite 1
New York, NY 10010-5464
Phone (212) 420-9788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Manning Walsh Nursing Home Co Inc Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1114026911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E 22ND ST",
            "address_2": "SUITE1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105404",
            "telephone_number": "212-420-9877",
            "fax_number": "212-420-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 22ND ST",
            "address_2": "SUITE1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105404",
            "telephone_number": "212-420-9877",
            "fax_number": "212-420-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLUTTA",
        "first_name": "HENRY",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.