Individual provider Active NPI

Maria C Paillaman-Bello, MD

  • Internal Medicine Physician
  • Shawnee, KS
National Provider Identifier
1235128703
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-40539 Issued in KS
Practice address
6345 Long Ave
Shawnee, KS 66216-2504
Phone
(913) 631-6400
Fax
(913) 631-6868
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01040775A IN
Internal Medicine Physician 207R00000X 04-40539 KS Primary

Addresses

Primary practice location

6345 Long Ave
Shawnee, KS 66216-2504

Mailing address

6345 Long Ave
Shawnee, KS 66216-2504
Phone (913) 631-6400

Other identifiers 8

IdentifierTypeStateIssuer
4101762OtherINCARE GROUP - AETNA #
1070457OtherINCARE GROUP - FIRST HEALTH
467496OtherINCARE GROUP - HEALTHLINK #
000000106972OtherINCARE GROUP - BCBS MARY ST
100180990MedicaidIN
000000386243OtherINCARE GROUP - BCBS GATEWAY
065759OtherINCARE GROUP - HAMP #
64002009MedicaidKY

Other names 1

  • Maria C Paillaman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210903000644 KS Practitioner - Family Practice 9931145927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmeri Family Medicine Associates PAGroup PAC ID 5496982779, 7 clinicians

Practice addresses (Care Compare)

6345 Long Ave
Shawnee, KS 66216-2504
Phone (913) 631-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-40539KSMDInternal Medicine Physician
01040775AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmeri Family Medicine Associates PA CurrentSince Jun 1, 2021 Accepting new patients
Midwest Internal Medicine PC Internal Medicine Past Accepting new patients

Locations

6345 Long Ave
Shawnee Msn, KS 66216
Phone (913) 631-6400

Interoperability endpoints

  • Direct secure messaging: maria.paillaman-bello.1@22489.direct.athenahealth.com

Organizations & group practices 2

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1235128703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 LONG AVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162504",
            "telephone_number": "913-631-6400",
            "fax_number": "913-631-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 LONG AVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162504",
            "telephone_number": "913-631-6400",
            "fax_number": "913-631-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAILLAMAN-BELLO",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01040775A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-40539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE GROUP - AETNA #",
            "identifier": "4101762",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE GROUP - FIRST HEALTH",
            "identifier": "1070457",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE GROUP - HEALTHLINK #",
            "identifier": "467496",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE GROUP - BCBS MARY ST",
            "identifier": "000000106972",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE GROUP - BCBS GATEWAY",
            "identifier": "000000386243",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE GROUP - HAMP #",
            "identifier": "065759",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64002009",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PAILLAMAN",
            "middle_name": "C",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.