Individual provider Active NPI

Belmont W. Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1194907303
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0051 Issued in NV
Practice address
1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone
(702) 878-1400
NPI assigned
Nov 29, 2007
Last updated
Jan 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0051 NV Primary

Addresses

Primary practice location

1416 S Jones Blvd
Las Vegas, NV 89146-1231

Mailing address

1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone (702) 878-1400

Other identifiers 1

IdentifierTypeStateIssuer
5947490001OtherNVDME NSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000141 NV Practitioner - Podiatry 4688609563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Belmont W. Anderson DPM LTDGroup PAC ID 7911102389, 3 clinicians

Practice addresses (Care Compare)

1416 S Jones Blvd
Las Vegas, NV 89146-1231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue209
Removal of skin lesions118
Removal of nail tissue43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0051NVMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont W. Anderson DPM LTD Foot & Ankle Surgery CurrentSince Apr 27, 2007 Accepting new patients
Dignity Health Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients

Locations

1416 S Jones Blvd
Las Vegas, NV 89146
Phone (618) 558-3221

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECJBD

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, 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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1194907303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-878-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-878-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BELMONT",
        "middle_name": "W.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NSC",
            "identifier": "5947490001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.