Individual provider Active NPI

John S Belany, DO

  • Pulmonary Disease Physician
  • Warren, OH
National Provider Identifier
1265422174
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34-00-3411-B Issued in OH
Practice address
311 Niles Cortland Rd NE Ste a
Warren, OH 44484-1949
Phone
(330) 395-2420
Fax
(330) 395-2423
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 34-00-3411-B OH Primary

Addresses

Primary practice location

311 Niles Cortland Rd NE Ste a
Warren, OH 44484-1949

Mailing address

982 Warner Rd SE
Brookfield, OH 44403-9742
Phone (330) 395-2420

Other identifiers 1

IdentifierTypeStateIssuer
0652066MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060809000166 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0244233492 Practice locations: Warren, OH

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 Niles Cortland Rd NE
Suite a
Warren, OH 44484-1949
Phone (330) 395-2420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3411OHMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: jbelany34950@direct.bsmhealth.org

Hospital & facility affiliations 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1265422174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 WARNER RD SE",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039742",
            "telephone_number": "330-395-2420",
            "fax_number": "330-395-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NILES CORTLAND RD NE STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841949",
            "telephone_number": "330-395-2420",
            "fax_number": "330-395-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANY",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "34-00-3411-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0652066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.