Active NPI
Michael Bellucci
- Physician Assistant
- Reno, NV
National Provider Identifier
1487438693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10619 Professional Cir
Reno, NV 89521-5831 - Phone
- (775) 852-4848
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
10619 Professional Cir
Reno, NV 89521-5831
Mailing address
10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 852-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240510002700 | NV | Practitioner - Physician Assistant | 2567803398 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastroenterology Consultants LTD
Practice addresses (Care Compare)
10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 329-4600
880 Ryland St
Reno, NV 89502-1603
Phone (775) 329-4600
Hospital & facility affiliations
- Renown Regional Medical Center
- Renown South Meadows Medical Center
- Banner Churchill Community Hospital
- Carson Tahoe Regional Medical Center
- Northern Nevada Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.T. Still University - College for Healthy Communities | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Student in an Organized Health Care Education/Training Program
- Santa Maria, CA
- NPI 1356222020
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1487438693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10619 PROFESSIONAL CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895215831",
"telephone_number": "775-852-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10619 PROFESSIONAL CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895215831",
"telephone_number": "775-852-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLUCCI",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.
- 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.