Active NPI
Eric G Bello, MD
- Emergency Medicine Physician
- Albany, NY
National Provider Identifier
1225068737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 138828-1
- Practice address
- 400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014 - Phone
- (518) 445-4444
- Fax
- (518) 618-1665
- NPI assigned
- Jul 3, 2006
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 138828-1 | NY | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 138828 | NY |
Addresses
Primary practice location
400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014
Mailing address
400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014
Phone (518) 445-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361858 | Other | NY | MVP |
| 01831052 | Medicaid | NY | |
| 10027104 | Other | NY | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138828-1 | NY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1225068737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065014",
"telephone_number": "518-445-4444",
"fax_number": "518-618-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065014",
"telephone_number": "518-445-4444",
"fax_number": "518-618-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "ERIC",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "138828-1",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "138828",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "361858",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01831052",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10027104",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.