Active NPI
Lucille B Belnick, MD
- Internal Medicine Physician
- Winter Park, FL
National Provider Identifier
1275517690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME65336
- Practice address
- 5478 Lake Howell Rd
Winter Park, FL 32792-1034 - Phone
- (407) 679-3400
- Fax
- (407) 679-3412
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME65336 | FL | Primary |
Addresses
Primary practice location
5478 Lake Howell Rd
Winter Park, FL 32792-1034
Mailing address
5474 Lake Howell Rd
Winter Park, FL 32707
Phone (407) 679-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375262300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 10, 2020 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Tracy Rhodes, M.D. P.a. | Internal Medicine | Past | Accepting new patients |
| Todd Newberg MD PA | Internal Medicine | Past | Accepting new patients |
| Orlando Health Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1487691259
-
- Internal Medicine Physician
- Winter Park, FL
- NPI 1588835565
-
- Internal Medicine Physician
- Winter Park, FL
- NPI 1962535666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1275517690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5474 LAKE HOWELL RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32707",
"telephone_number": "407-679-3400",
"fax_number": "407-679-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5478 LAKE HOWELL RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921034",
"telephone_number": "407-679-3400",
"fax_number": "407-679-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELNICK",
"first_name": "LUCILLE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME65336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375262300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.