Individual provider Active NPI

Karin Marina Belsito, M.D.

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1174591481
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0057114 Issued in MD
Practice address
5612 Spruce Tree Ave
Bethesda, MD 20814-1626
Phone
(301) 564-5880
Fax
(301) 564-6460
NPI assigned
Mar 11, 2006
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0057114 MD Primary

Addresses

Primary practice location

5612 Spruce Tree Ave
Bethesda, MD 20814-1626

Mailing address

5612 Spruce Tree Ave
Bethesda, MD 20814-1626
Phone (301) 564-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200103001884 MD Practitioner - Physical Medicine and Rehabilitation 6901934744 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057114MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Krieger Associates Pediatrics CurrentSince Nov 12, 2019 Accepting new patients
Kennedy Krieger Associates Pediatrics CurrentSince Nov 12, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The Pediatric Care Center Pediatrics Past Accepting new patients

Locations

3901 Greenspring Ave
Baltimore, MD 21211
Phone (443) 923-7630

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

Interoperability endpoints

  • Direct secure messaging: kbelsito51275@direct.hopkinsmedicine.org
  • Direct secure messaging: kbelsito9175@direct.kennedykrieger.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1174591481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 SPRUCE TREE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141626",
            "telephone_number": "301-564-5880",
            "fax_number": "301-564-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 SPRUCE TREE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141626",
            "telephone_number": "301-564-5880",
            "fax_number": "301-564-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSITO",
        "first_name": "KARIN",
        "middle_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0057114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.