Individual provider Active NPI

Andrejs Belovs, PA-C

  • Physician Assistant
  • Lehigh Acres, FL
National Provider Identifier
1285063677
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107387 Issued in FL
Practice address
2625 Lee Blvd Ste 100
Lehigh Acres, FL 33971-1569
Phone
(239) 369-3333
Fax
(239) 369-4837
NPI assigned
Nov 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107387 FL Primary

Addresses

Primary practice location

2625 Lee Blvd Ste 100
Lehigh Acres, FL 33971-1569

Mailing address

PO Box 3445
N Fort Myers, FL 33918-3445
Phone (239) 369-3333

Other practice location 1

14651 Palm Beach Blvd Ste 105
Fort Myers, FL 33905-2331
Phone (239) 369-3333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrejs.belovs.1@8796.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150713003096 FL Practitioner - Physician Assistant 5395058846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Pulmonary Associates IncGroup PAC ID 7911978036, 3 clinicians

Practice addresses (Care Compare)

2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971-1569
Phone (239) 369-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9107387FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Pulmonary Associates, Inc CurrentSince Aug 15, 2021 Accepting new patients

Locations

14651 Palm Beach Blvd
Ste 105
Fort Myers, FL 33905
Phone (239) 369-3333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8796/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrejs.belovs.1@8796.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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1285063677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339183445",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 LEE BLVD STE 100",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711569",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 Palm Beach Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339052331",
            "country_code": "US",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELOVS",
        "first_name": "ANDREJS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrejs.belovs.1@8796.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2625 Lee Blvd Ste 100",
            "city": "Lehigh Acres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339711569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.