Active NPI
Ian Leslie Belson, DO
- Neurology Physician
- Overland Park, KS
National Provider Identifier
1164424339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0525474
- Practice address
- 12140 Nall
Suite 230
Overland Park, KS 66209-2503 - Phone
- (913) 661-9434
- Fax
- (913) 661-4688
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0525474 | KS | Primary |
Addresses
Primary practice location
12140 Nall
Suite 230
Overland Park, KS 66209-2503
Mailing address
12140 Nall
Suite 230
Overland Park, KS 66209-2503
Phone (913) 661-9434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100179430F | Medicaid | KS | |
| 240870642 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0525474 | KS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Past | Accepting new patients | |
| The Headache & Pain Center, P. a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1972570414
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1164424339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12140 NALL",
"address_2": "SUITE 230",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092503",
"telephone_number": "913-661-9434",
"fax_number": "913-661-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12140 NALL",
"address_2": "SUITE 230",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092503",
"telephone_number": "913-661-9434",
"fax_number": "913-661-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELSON",
"first_name": "IAN",
"middle_name": "LESLIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "0525474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100179430F",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240870642",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.