NPIMap

Organization Active NPI

Diabetes, Osteoporosis & Weight Loss Center PLLC

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1497490130
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIABETES, OSTEOPOROSIS & WEIGHT LOSS CENTER PLLC
Practice address
2101 Cornwall Ave Ste 101
Bellingham, WA 98225-3676
Phone
(360) 288-4343
Fax
(360) 339-5566
NPI assigned
Apr 27, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Dr. Alexander Constantin Gelou, MDNPI 1316200603
Title
President
Phone
(360) 288-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2101 Cornwall Ave Ste 101
Bellingham, WA 98225-3676

Mailing address

2101 Cornwall Ave Ste 101
Bellingham, WA 98225-3676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622001703 WA Part B Supplier - Clinic/Group Practice 6204215205 Receives reassigned benefits from 2 practitioners
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26686/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1497490130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORNWALL AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORNWALL AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253676",
            "telephone_number": "360-288-4343",
            "fax_number": "360-339-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES, OSTEOPOROSIS & WEIGHT LOSS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "GELOU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "CONSTANTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-288-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.