Paul M Bellofiore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

031113 Issued in CT

Practice address

363 Reef Rd
Fairfield, CT 06824-6582

Phone

(203) 255-0891

Fax

(203) 255-8087

NPI assigned

Mar 18, 2006

Last updated

Apr 30, 2015By the provider in NPPES

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Imaging of Southbury

  • Radiology Clinic/Center
  • Southbury, CT
  • NPI 1245252824
  NPD (past)
• Naugatuck Valley Computerized Imaging

  • Radiology Clinic/Center
  • Waterbury, CT
  • NPI 1225050800
  NPD (past)
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1316906456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 REEF RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246582",
            "telephone_number": "203-255-0891",
            "fax_number": "203-255-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 REEF RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246582",
            "telephone_number": "203-255-0891",
            "fax_number": "203-255-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOFIORE",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031113",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "031113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V9943",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5470646",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3840112",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1333706",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kisseberth Bedson, R.P.T.
• Woodlyne Belizaire
• Barton Belkin, M.D.
• Madeline M Bellamy, LMFT
• Allison Rose Belliveau
• Glenn T. Bemus
• Susan Bennett, M.A., CCC-A
• Paul E Berard, MD
• Cody Cooper Bergeron, LCSW
• Valerian Berisha

• Internal Medicine Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.