NPIMap

Individual provider Active NPI

Bulent Dincer, M.D.

  • Cardiovascular Disease Physician
  • Belleville, IL
National Provider Identifier
1609962992
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036063633 Issued in IL
Practice address
517 E Waters Edge Dr
Belleville, IL 62221-7813
Phone
(618) 304-7235
Fax
(618) 304-7235
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036063633 IL Primary
Interventional Cardiology Physician 207RI0011X 036063633 IL

Addresses

Primary practice location

517 E Waters Edge Dr
Belleville, IL 62221-7813

Mailing address

517 East Waters Edge Drive
Belleville, IL 62221-7813
Phone (618) 304-7235

Other identifiers 16

IdentifierTypeStateIssuer
1609962992OtherILTRICARE PRIME ID#
1609962992OtherILUHC ID#
2092189OtherILFIRST HEALTH ID#
000000574721OtherILBCBS OF MO ID#
100603OtherILHEALTHLINK ID#
1609962992OtherILUPREHS
0891394OtherILCIGNA ID#
111197OtherILHEALTH ALLIANCE ID#
4000254OtherILAETNA ID#
1609962992OtherILBCBS OF IL ID#
1609962992OtherILGREAT WEST ID#
1609962992AAOtherILESSENCE ID#
344038OtherILGHP ID#
1609962992OtherILTRICARE STANDARD ID#
256717OtherILWELLCARE ID#
322675459OtherILHMO OF ILLINOIS ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036063633ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiology, P.C. Cardiovascular Disease PastSince Jan 12, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1609962992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 EAST WATERS EDGE DRIVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217813",
            "telephone_number": "618-304-7235",
            "fax_number": "618-304-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E WATERS EDGE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217813",
            "telephone_number": "618-304-7235",
            "fax_number": "618-304-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINCER",
        "first_name": "BULENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036063633",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036063633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME ID#",
            "identifier": "1609962992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC ID#",
            "identifier": "1609962992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID#",
            "identifier": "2092189",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO ID#",
            "identifier": "000000574721",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK ID#",
            "identifier": "100603",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPREHS",
            "identifier": "1609962992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID#",
            "identifier": "0891394",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE ID#",
            "identifier": "111197",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "4000254",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL ID#",
            "identifier": "1609962992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST ID#",
            "identifier": "1609962992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE ID#",
            "identifier": "1609962992AA",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP ID#",
            "identifier": "344038",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD ID#",
            "identifier": "1609962992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE ID#",
            "identifier": "256717",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO OF ILLINOIS ID#",
            "identifier": "322675459",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.