Individual provider Active NPI

Dmitry Dmitriyevich Belchenko, DO

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1124558267
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19737 Issued in CA
Practice address
7257 N Fresno St
Fresno, CA 93720-2950
Phone
(559) 227-7463
Fax
(559) 451-3690
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Student in an Organized Health Care Education/Training Program 390200000X NM
Neurology Physician 2084N0400X 19737 CA Primary

Addresses

Primary practice location

7257 N Fresno St
Fresno, CA 93720-2950

Mailing address

7257 N Fresno St
Fresno, CA 93720-2950
Phone (559) 227-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221108001910 CA Practitioner - Neurology 8123376522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19737CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Aug 15, 2022 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1124558267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202950",
            "telephone_number": "559-227-7463",
            "fax_number": "559-451-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202950",
            "telephone_number": "559-227-7463",
            "fax_number": "559-451-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHENKO",
        "first_name": "DMITRY",
        "middle_name": "DMITRIYEVICH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "19737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.