Robert Belza, MD
Individual provider Active NPI Pediatrics Physician · Louisville, KY
NPI 1366463093 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1366463093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 27954 (KY)
- Practice address
- 4171 Westport Rd
Louisville, KY 40207-2739 - Phone
- (502) 896-8868
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27954 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Louisville Pediatrics, P.S.C. | Pediatrics | Current |
Accepting new patients |
| One Pediatrics, PLLC | Pediatrics | Past |
Accepting new patients |
Locations
6112 Crestwood Sta
Crestwood, KY 40014
4171 Westport Rd
Louisville, KY 40207
Phone (502) 895-6702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27954 | KY | Yes |
Addresses
Primary practice location
4171 Westport Rd
Louisville, KY 40207-2739
Mailing address
4171 Westport Rd
Louisville, KY 40207-2739
Phone (502) 896-8868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 642795406 | Medicaid | KY |
Other providers in Louisville, KY
- Trudi F Bellou
- Christopher Robert Bellucci
- Leslie Belmont
- Brian Christopher Belva
- James R Belza
- Mary Bemker - Page
- Bemudo Transportation, LLC
- Ben a Reid Jr PSC
- Julie B Benac
- Nan Benally
All providers in Louisville, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.