Individual provider Active NPI

Philip John Bellipanni, PA-C

  • Medical Physician Assistant
  • Littleton, CO
National Provider Identifier
1578789947
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
658 Issued in CO
Practice address
7720 S Broadway Ste 590
Littleton, CO 80122-2601
Phone
(303) 703-8583
Fax
(303) 703-9791
NPI assigned
Apr 17, 2007
Last updated
Dec 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2013-0053 NM
Medical Physician Assistant 363AM0700X PA53339 CA
Medical Physician Assistant 363AM0700X 658 CO Primary

Addresses

Primary practice location

7720 S Broadway Ste 590
Littleton, CO 80122-2601

Mailing address

7720 S Broadway Ste 590
Littleton, CO 80122-2601
Phone (303) 703-8583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325003838 CO Order and Referring Only - Physician Assistant 5597999300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53339CAMDPharmacist
658COMDAudiologist
PA53339CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center Pointe Family Medicine LLC PastSince May 9, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8535/brand/1/csg/1/fhir/r4
  • Direct secure messaging: philip.bellipanni.3@8535.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1578789947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 590",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222601",
            "telephone_number": "303-703-8583",
            "fax_number": "303-703-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 590",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222601",
            "telephone_number": "303-703-8583",
            "fax_number": "303-703-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIPANNI",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0053",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53339",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.