Jack G Belen, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

JB042374 Issued in MI

Practice address

20307 West 12 Mile Road
Suite 102
Southfield, MI 48076

Phone

(248) 356-6661

Fax

(248) 356-6619

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbelen1117021@direct.hfhs.org

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.

• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Sterling Heights, MI
  • NPI 1720395205
  Medicare reassignment Care Compare group NPD
• Mendelson Orthopedics PC

  • Interventional Pain Medicine Physician
  • Warren, MI
  • NPI 1700239415
  NPD
• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Livonia, MI
  • NPI 1720153463
  NPD
• Mendelson Orthopedics PC

  • Durable Medical Equipment & Medical Supplies
  • Sterling Heights, MI
  • NPI 1124336326
  NPD (past)
• Polyclinic Associates PC

  • Specialist
  • Southfield, MI
  • NPI 1174665988
  NPD (past)
• Saul Weingarden MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
  • NPI 1588210397
  NPD (past)
• Saul Weingarden MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
  • NPI 1588847065
  NPD (past)
• John Balko and Associates Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1932105996
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376565994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 WEST 12 MILE ROAD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 WEST 12 MILE ROAD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-356-6661",
            "fax_number": "248-356-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELEN",
        "first_name": "JACK",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "JB042374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552582",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bekes
• Leah K Bekker
• Roxana Nargues Beladi
• Jeffry D Belan, PA
• Alex Belanger
• Believe Trust and Change Counseling
• Ainsley Belisle
• Jeffrey L Belkin, M.D.
• Trinity Belkofer
• Katherine Kimberly Bell- Braziel, C.O.T.A.

• Physical Medicine & Rehabilitation Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.