Individual provider Active NPI

Michael J Bellino, M.D.

  • Orthopaedic Surgery Physician
  • Stanford, CA
National Provider Identifier
1326134909
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G79413 Issued in CA
Practice address
300 Pasteur Dr, R111
Stanford, CA 94305-5341
Phone
(650) 725-5796
Fax
(650) 723-6396
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X G79413 CA
Orthopaedic Surgery Physician 207X00000X G79413 CA Primary

Addresses

Primary practice location

300 Pasteur Dr, R111
Stanford, CA 94305-5341

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070628000247 CA Practitioner - Orthopedic Surgery 4880793017
I20210503002209 HI Practitioner - Orthopedic Surgery 4880793017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Orthopaedics, LLCGroup PAC ID 1850578030, 12 clinicians

Practice addresses (Care Compare)

3382 Waialae Ave
Honolulu, HI 96816-2637
Phone (808) 548-7033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement52
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G79413CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Island Orthopaedics, LLC Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Island Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Queens University Medical Group Past Accepting new patients

Locations

91-2135 Fort Weaver Rd
#4
Ewa Beach, HI 96706

91-2139 Fort Weaver Rd
Ste 305
Ewa Beach, HI 96706
Phone (808) 548-7036

91-2135 Fort Weaver Rd
Fl 4
Ewa Beach, HI 96706
Phone (808) 691-3520

67-1185 Mamalahoa Hwy
Unit A101
Kamuela, HI 96743
Phone (808) 548-7033

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1326134909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR, R111",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055341",
            "telephone_number": "650-725-5796",
            "fax_number": "650-723-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G79413",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G79413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.