Active NPI
Ajit Belliappa, MD
- Diagnostic Radiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 239074
- Practice address
- 1441 South Ave
Staten Island, NY 10314-3779 - Phone
- (332) 243-6900
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 239074 | NY | Primary |
Addresses
Primary practice location
1441 South Ave
Staten Island, NY 10314-3779
Mailing address
1441 South Ave
Staten Island, NY 10314-3779
Other practice location 1
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060707000180 | NY | Practitioner - Diagnostic Radiology | 4789696949 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Hahnemann University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount SinaiNorth Shore Medical Group of the Mount Sinai School of Medicine
Practice addresses (Care Compare)
1441 S Ave
Suite 206And207
Staten Island, NY 10314-3779
Phone (718) 987-9777
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.08 of 100
- Quality
- 62.84
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239074 | NY | MD | Diagnostic Radiology Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Diagnostic Radiology | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
Locations
27443 Network Pl
Chicago, IL 60673
410 E 189th St
Bronx, NY 10458
Phone (718) 220-2500
4355 147th St
Flushing, NY 11355
Phone (718) 670-4550
8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532
5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
3717 76th St
Jackson Hts, NY 11372
Phone (718) 424-1400
18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002
315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
1441 South Ave
Ste 206207
Staten Island, NY 10314
Phone (718) 987-9777
476 Klondike Ave
Staten Island, NY 10314
Phone (718) 494-7670
1441 South Ave
Staten Island, NY 10314
Phone (332) 243-6900
11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1225085129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 SOUTH AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 SOUTH AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143779",
"telephone_number": "332-243-6900"
}
],
"practiceLocations": [
{
"address_1": "5 Cuba Hill Rd",
"address_purpose": "LOCATION",
"city": "Greenlawn",
"state": "NY",
"postal_code": "117401624",
"country_code": "US",
"telephone_number": "631-628-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLIAPPA",
"first_name": "AJIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "239074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.