NPIMap

Individual provider Active NPI

Ronald G Bellisario, MD

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1114918877
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070169 Issued in MI
Practice address
2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone
(248) 997-9700
Fax
(248) 997-9707
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301070169 MI Primary

Addresses

Primary practice location

2940 Crooks Rd
Rochester Hills, MI 48309-3609

Mailing address

2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone (248) 997-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001293 MI Practitioner - Family Practice 1850374505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonebrooke Family PhysiciansGroup PAC ID 7315992922, 9 clinicians

Practice addresses (Care Compare)

2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone (248) 934-1703

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070169MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital CurrentSince Mar 29, 2010 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Stonebrooke Family Physicians Family Medicine CurrentSince Feb 5, 2001 Accepting new patients
Stonebrooke Family Physicians Family Medicine CurrentSince Feb 1, 2007 Accepting new patients
William Beaumont Hospital Family Medicine CurrentSince Mar 29, 2010 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients

Locations

2064 Momentum Pl
Chicago, IL 60689

17940 Farmington Rd
Livonia, MI 48152
Phone (734) 523-6800

1701 South Blvd E
Ste 270
Rochester Hills, MI 48307
Phone (248) 853-2223

2930 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 243-3330

2940 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 934-1703

30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732

44300 Dequindre Rd
Sterling Hts, MI 48314
Phone (248) 964-0100

Interoperability endpoints

  • Direct secure messaging: ronaldbellisario@sfp.allscriptsdirect.net
  • Direct secure messaging: rbellisario1035632@direct.hfhs.org

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.

Hospital & facility affiliations 6

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1114918877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-997-9700",
            "fax_number": "248-997-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-997-9700",
            "fax_number": "248-997-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISARIO",
        "first_name": "RONALD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.