Renette Belizaire, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0051975 Issued in MD

Practice address

9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Phone

(301) 599-7300

Fax

(301) 599-0476

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • Anatomic Pathology Physician
  • Washington, DC
  • NPI 1578297503
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1295871309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-599-7300",
            "fax_number": "301-599-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-599-7300",
            "fax_number": "301-599-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIZAIRE",
        "first_name": "RENETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0051975",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0051975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE MMA ID#",
            "identifier": "025800800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "669520500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bea'S Hive Assisted Living
• Raneika Shirrelle Bean
• Beatus Healthcare Services LLC
• Elizabeth A Bechem
• Rhonda Beckwith
• Anna Maria Bell, LCSW-C
• Ayana Bell
• Skylar Bell
• Syntia Belleh Nqualle
• Kafilat Folashade Bello-Immam

• Pediatrics Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.