Individual provider Active NPI

Christian Arturo Belliard Estevez, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1215136254
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250412 Issued in NY
Practice address
2270 University Ave
Suite # 1-a
Bronx, NY 10468-6265
Phone
(646) 393-9079
Fax
(646) 393-9081
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 250412 NY Primary
Internal Medicine Physician 207R00000X 25MA08476500 NJ

Addresses

Primary practice location

2270 University Ave
Suite # 1-a
Bronx, NY 10468-6265

Mailing address

2270 University Ave
Suite # 1-a
Bronx, NY 10468-6265
Phone (646) 393-9079

Other identifiers 2

IdentifierTypeStateIssuer
03128530MedicaidNY
0181919MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090721000606 NY Practitioner - Internal Medicine 0840358263

National Provider Directory

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

Practice roles (1 of 4)

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine PastSince Dec 1, 2023 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1215136254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 UNIVERSITY AVE",
            "address_2": "SUITE # 1-A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686265",
            "telephone_number": "646-393-9079",
            "fax_number": "646-393-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 UNIVERSITY AVE",
            "address_2": "SUITE # 1-A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686265",
            "telephone_number": "646-393-9079",
            "fax_number": "646-393-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIARD ESTEVEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "ARTURO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250412",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08476500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03128530",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181919",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.