Active NPI
John A Bellan Jr., MD
- Cardiovascular Disease Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 16704
- Practice address
- 501 Marshall St
Ste 104
Jackson, MS 39202 - Phone
- (601) 969-6404
- Fax
- (601) 973-4541
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 16704 | MS | Primary |
Addresses
Primary practice location
501 Marshall St
Ste 104
Jackson, MS 39202
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00121619 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080923000631 | MS | Practitioner - Cardiovascular Disease (Cardiology) | 1254408818 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation of Central Mississippi Inc
Practice addresses (Care Compare)
1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261
151 E Metro Dr
Flowood, MS 39232-4405
151 E Metro Pkwy
Suite 201
Flowood, MS 39232-4405
Phone (601) 973-1680
2173 Main St
Madison, MS 39110-6309
Phone (601) 605-3858
401 Baptist Dr
Madison, MS 39110-2009
Phone (601) 969-6404
401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504
501 Marshall St
Suite 104
Jackson, MS 39202-1663
Phone (601) 969-6404
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (601) 969-6404
Hospital & facility affiliations
- Mississippi Baptist Medical Center
- Mississippi Methodist Rehab Ctr
- St Dominic-Jackson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
970 Lakeland Dr
Ste 61
Jackson, MS 39216
Phone (601) 200-2780
501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541
501 Marshall St
Ste 101
Jackson, MS 39202
Phone (601) 969-2860
401 Baptist Dr
Ste 406
Madison, MS 39110
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
Interoperability endpoints
- jbellan148900@direct.bmhcc.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Cardiovascular Disease, MS
-
- Medicare Defined Swing Bed Hospital Unit
- Yazoo City, MS
- NPI 1063620870
-
- Cardiovascular Disease Physician
- Madison, MS
- NPI 1902096837
Cardiovascular Disease
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1609883446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"telephone_number": "901-227-3255",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARSHALL ST",
"address_2": "STE 104",
"city": "JACKSON",
"state": "MS",
"postal_code": "39202",
"telephone_number": "601-969-6404",
"fax_number": "601-973-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAN",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "16704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121619",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.