Individual provider Active NPI

Octavian Mircea Belcea, MD

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1184695272
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200200323 Issued in NC
Practice address
2810 Wakefield Pines Dr
Suite 115
Raleigh, NC 27614-7078
Phone
(919) 488-0111
Fax
(919) 488-0104
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200200323 NC Primary

Addresses

Primary practice location

2810 Wakefield Pines Dr
Suite 115
Raleigh, NC 27614-7078

Mailing address

2810 Wakefield Pines Dr
Suite 115
Raleigh, NC 27614-7078
Phone (919) 488-0111

Other identifiers 1

IdentifierTypeStateIssuer
5900500MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040807000163 NC Practitioner - Family Practice 7810969185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2810 Wakefield Pines Dr
Suite 115
Raleigh, NC 27614-7078
Phone (919) 488-0111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Q Le DMD PA Current Accepting new patients
Octavian M. Belcea, MD PA CurrentSince Sep 26, 2003 Accepting new patients

Locations

2810 Wakefield Pines Dr
Ste 115
Raleigh, NC 27614
Phone (919) 417-3740

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.

Hospital & facility affiliations 1

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1184695272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 WAKEFIELD PINES DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147078",
            "telephone_number": "919-488-0111",
            "fax_number": "919-488-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WAKEFIELD PINES DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147078",
            "telephone_number": "919-488-0111",
            "fax_number": "919-488-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCEA",
        "first_name": "OCTAVIAN",
        "middle_name": "MIRCEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200200323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900500",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.