Individual provider Active NPI

Stanislav Belchuk, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1164816674
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T0423 Issued in TX
Practice address
6431 Fannin St
Suite MSB 2.116
Houston, TX 77030-1501
Phone
(713) 500-7640
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X T0423 TX Primary

Addresses

Primary practice location

6431 Fannin St
Suite MSB 2.116
Houston, TX 77030-1501

Mailing address

6431 Fannin St
Suite MSB 2.116
Houston, TX 77030-1501
Phone (713) 500-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210416000272 TX Practitioner - Diagnostic Radiology 9931419074 Reassigns benefits to 4 organizations
I20230111000556 IL Practitioner - Diagnostic Radiology 9931419074 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirby Medical CenterGroup PAC ID 6901791144, 80 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Hoopeston Community Memorial HospitalGroup PAC ID 3577456037, 142 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

3024 E Empire St
Bloomington, IL 61704-5402

541 Briarglen Dr
Coppell, TX 75019-5702
Phone (832) 640-7298

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Graham Hospital Association Hospital, Canton, IL, CCN 140001
  • Graham Hospital Association Hospital, Canton, IL, CCN 141356
  • Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc Current Accepting new patients
Graham Hospital Association Current Accepting new patients
Kirby Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Graham Hospital Association CurrentSince Jan 20, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Feb 6, 2023 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Feb 1, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Feb 6, 2023 Accepting new patients
Graham Hospital Association CurrentSince Jan 20, 2025 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Kirby Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 6, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 6, 2023 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: sbelchukmd367622@carlehiedirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1164816674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE MSB 2.116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE MSB 2.116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHUK",
        "first_name": "STANISLAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T0423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.