Individual provider Active NPI

Ajit Belliappa, MD

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1225085129
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
239074 Issued in NY
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

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Sinai 33 clinicians
North Shore Medical Group of the Mount Sinai School of Medicine 325 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
239074NYMDDiagnostic Radiology Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Feb 1, 2025 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2025 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Feb 1, 2025 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.

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

Verify at the official NPI Registry.