Active NPI
Randall L Belt, D.O.
- Family Medicine Physician
- Johnson City, TN
On this page
- Key facts
- Organizations & group practices11
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses3
- Addresses
- Other identifiers5
- Other names1
- NPI Registry JSON
- Other providers in Johnson City, TN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1640
- Practice address
- 378 Marketplace Dr
Suite 5
Johnson City, TN 37604-2361 - Phone
- (423) 282-0751
- Fax
- (423) 282-1577
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Emergency Medicine, TN
-
- Anatomic Pathology & Clinical Pathology Physician
- Johnson City, TN
- NPI 1720053945
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Emergency Medical Services (Emergency Medicine) Physician
- Blacksburg, VA
- NPI 1972545531
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- Emergency Medicine Physician
- Petersburg, WV
- NPI 1528480712
Emergency Medicine
-
- General Acute Care Hospital
- Bluefield, WV
- NPI 1265486583
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-Cities Regional Emergency Physicians, PC
Practice addresses (Care Compare)
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Hospital & facility affiliations
- Greeneville Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 83.8
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050225000263 | TN | Practitioner - Emergency Medicine | 9436131141 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1640 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| St. Luke'S Princeton LLC | Past | Accepting new patients | |
| Logan General Hospital LLC | Family Medicine | Past | Accepting new patients |
| Epmg of Virginia P C | Past | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | Accepting new patients | |
| Elm Emergency Group PLLC | Emergency Medicine | Past | Accepting new patients |
| Johnston Memorial Hospital, Inc | Past | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | Accepting new patients | |
| National Emergency Services West Virginia Inc | Emergency Medicine | Past | Accepting new patients |
| Watauga Pathology Associates PC | Past | Accepting new patients |
Locations
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1640 | TN | |
| Emergency Medicine Physician | 207P00000X | 1756 | WV | |
| Family Medicine Physician | 207Q00000X | 1640 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
378 Marketplace Dr
Suite 5
Johnson City, TN 37604-2361
Mailing address
999 Executive Park Blvd
Suite 201
Kingsport, TN 37660-4632
Phone (423) 224-3250
Other practice location 1
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5600582001 | Medicaid | WV | |
| P00285995 | Other | WV | MEDICARE RAILROAD |
| 000688219 | Other | WV | BLUE CROSS |
| 005645786 | Medicaid | VA | |
| 6405640 | Medicaid | KY |
Other names 1
NPPES NPI Registry- Dr. Randall Lee Belt
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2021.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1265475321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 EXECUTIVE PARK BLVD",
"address_2": "SUITE 201",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604632",
"telephone_number": "423-224-3250",
"fax_number": "423-224-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 MARKETPLACE DR",
"address_2": "SUITE 5",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042361",
"telephone_number": "423-282-0751",
"fax_number": "423-282-1577"
}
],
"practiceLocations": [
{
"address_1": "1420 Tusculum Blvd",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454279",
"country_code": "US",
"telephone_number": "423-787-5000",
"fax_number": "423-787-5083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELT",
"first_name": "RANDALL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "1640",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "1756",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "1640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5600582001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00285995",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000688219",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005645786",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6405640",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDALL",
"last_name": "BELT",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.