Individual provider Active NPI

Paulina Bellezza, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1154867349
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13266 Issued in TX
Practice address
5800 Communications Pkwy
Plano, TX 75093-7882
Phone
(972) 265-4190
Fax
(972) 265-4189
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109952 FL
Physician Assistant 363A00000X PA13266 TX Primary

Addresses

Primary practice location

5800 Communications Pkwy
Plano, TX 75093-7882

Mailing address

5800 Communications Pkwy
Plano, TX 75093-7882
Phone (972) 265-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170403000578 FL Practitioner - Physician Assistant 9638454796 Reassigns benefits to 1 organization
I20200520003401 TX Practitioner - Physician Assistant 9638454796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13266TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1154867349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937882",
            "telephone_number": "972-265-4190",
            "fax_number": "972-265-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937882",
            "telephone_number": "972-265-4190",
            "fax_number": "972-265-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEZZA",
        "first_name": "PAULINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109952",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.