Active NPI
Morgan E Belina, MD
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1366192551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 125.082721
- Practice address
- 420 E Superior St Ste 9-900
Chicago, IL 60611-4494 - Phone
- (312) 503-7975
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125.082721 | IL | |
| Internal Medicine Physician | 207R00000X | 125.082721 | IL | |
| Dermatology Physician | 207N00000X | 125.082721 | IL | Primary |
Addresses
Primary practice location
420 E Superior St Ste 9-900
Chicago, IL 60611-4494
Mailing address
420 E Superior St Ste 9-900
Chicago, IL 60611-4494
Phone (312) 503-7975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230714002932 | IL | Order and Referring Only - Internal Medicine | 7719347285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.082721 | IL | MD | Dermatology Physician |
Interoperability endpoints
- morgan.belina.1@3547.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1366192551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E SUPERIOR ST STE 9-900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114494",
"telephone_number": "312-503-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E SUPERIOR ST STE 9-900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114494",
"telephone_number": "312-503-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELINA",
"first_name": "MORGAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125.082721",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.082721",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "125.082721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Belhaven Nursing & Rehabilitation Center
- Belhaven Nursing and Rehabilitation Center LLC
- Paula Jo Belice, OTR/L
- Nagamani R. Beligere, M.D., MPH
- Eleanor Aubrey Belilos
- Cielo Cadiente Belingon-Suerte, MC
- Raynne Belingon, PT, DPT
- Linda T Beliveau, LCSW
- Natalija Simovic Beljajev, DDS
- Belk & Belk Incorporated NFP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.