Michael E. Belotti, D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4654 Issued in FL

Legal business name

MICHAEL E. BELOTTI, D.O., P.A.

Practice address

10111 Forest Hill Blvd
Suite 202
Wellington, FL 33414-6108

Phone

(561) 798-1995

Fax

(561) 798-4422

NPI assigned

Nov 23, 2010

Organization subpart

No

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

Authorized official

Name

Michael E. Belotti Jr., D.O.NPI 1861541195

Title

President

Phone

(561) 798-1995

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E Belotti Jr., D.O.

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1861541195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1154623155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 FOREST HILL BLVD",
            "address_2": "SUITE 202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-798-1995",
            "fax_number": "561-798-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 FOREST HILL BLVD",
            "address_2": "SUITE 202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-798-1995",
            "fax_number": "561-798-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. BELOTTI, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "BELOTTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-798-1995",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DZ247A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elnoude Metesier, BA
• Metropolitan Diagnostics PA
• Judianna Meyers-Sinett
• MGC Health Solutions LLC
• Tristan Miceli, D.C.
• Michael G. Mauck, D.M.D., P.a.
• Michael H. Rathjens, Psy.D, PA
• Michael S. Harris DMD
• Scott Lewis Midwall, M.D.
• Emma Migliara

• Family Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.