Individual provider Active NPI

Shulamit Bel, PA

  • Medical Physician Assistant
  • Revere, MA
National Provider Identifier
1336517788
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5611 Issued in MA
Practice address
454 Broadway
Revere, MA 02151-3034
Phone
(781) 485-8222
Fax
(781) 485-8227
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5611 MA Primary
Physician Assistant 363A00000X 0010-05892 NC

Addresses

Primary practice location

454 Broadway
Revere, MA 02151-3034

Mailing address

454 Broadway
Revere, MA 02151-3034
Phone (781) 485-8222

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160801002473 MA Practitioner - Physician Assistant 2466753405 Reassigns benefits to 1 organization
I20221221003139 HI Practitioner - Physician Assistant 2466753405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270

454 Broadway
Revere, MA 02151-3034
Phone (781) 485-8222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA5611MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 15, 2024 Accepting new patients
Castle Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

642 Ulukahiki St
Ste 104
Kailua, HI 96734
Phone (808) 263-3233

30 Aulike St
Ste 501
Kailua, HI 96734
Phone (808) 263-5011

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

46-001 Kamehameha Hwy
Ste 401
Kaneohe, HI 96744
Phone (808) 247-6070

1493 Cambridge St
Bsmt
Cambridge, MA 02139

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

454 Broadway
Revere, MA 02151
Phone (617) 389-4666

230 Highland Ave
Somerville, MA 02143
Phone (617) 591-4350

Organizations & group practices 6

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1336517788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 BROADWAY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513034",
            "telephone_number": "781-485-8222",
            "fax_number": "781-485-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BROADWAY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513034",
            "telephone_number": "781-485-8222",
            "fax_number": "781-485-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEL",
        "first_name": "SHULAMIT",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5611",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

Verify at the official NPI Registry.