Belezos Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

78702 Issued in MA

Legal business name

BELEZOS MEDICAL PC

Practice address

100 South St
Suite 107
Southbridge, MA 01550-4051

Phone

(508) 765-4900

Fax

(508) 765-4908

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elias V Belezos, MDNPI 1205819109

Title

President

Phone

(508) 765-4900

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elias Belezos, M.D.

  • Internal Medicine Physician
  • Charlton, MA
  • NPI 1205819109
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376604868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "address_2": "SUITE 107",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-765-4900",
            "fax_number": "508-765-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "address_2": "SUITE 107",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-765-4900",
            "fax_number": "508-765-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELEZOS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELEZOS",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-765-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "78702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "651260",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9760211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "116881",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M19245",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Beaupre, LICSW
• Arleen Amprimo Beer, SLP
• Katie Beer, APRN, PMHNP-BC
• Christina Marie Beesley, MA
• Joan Bejune, DEV. SPECIALIST
• Isabel Benavides, BSW
• Ashley Lyn Benvenuti
• Jacqueline Ann Berube, CNP
• Jessi Bessette
• Better Living Medical Supply LLC

• Internal Medicine Physician in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.