Individual provider Active NPI

Kim Ngoc Belchuk, P.A.

  • Medical Physician Assistant
  • Missouri City, TX
National Provider Identifier
1245637248
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4019 Royal Plantation LN
Missouri City, TX 77459-2367
Phone
(832) 818-6723
NPI assigned
Nov 20, 2014
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary

Addresses

Primary practice location

4019 Royal Plantation LN
Missouri City, TX 77459-2367

Mailing address

4019 Royal Plantation LN
Missouri City, TX 77459-2367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001109 TX Practitioner - Physician Assistant 7012231434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Richardson, TX 75080
Phone (800) 841-4236

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

4333 Gilbert Ave
Apt 213
Dallas, TX 75219-7905
Phone (800) 841-4236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Radiology Consultants PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

Interoperability endpoints

  • Direct secure messaging: knguyen871954@direct.sw.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1245637248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 ROYAL PLANTATION LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 ROYAL PLANTATION LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592367",
            "telephone_number": "832-818-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHUK",
        "first_name": "KIM",
        "middle_name": "NGOC",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.