NPIMap

Individual provider Active NPI

Michael I Belenko, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Williamsport, PA
National Provider Identifier
1619080744
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD039643E Issued in PA
Practice address
777 Rural Ave
Williamsport, PA 17701-3109
Phone
(570) 321-2321
NPI assigned
Aug 15, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD039643E PA Primary

Addresses

Primary practice location

777 Rural Ave
Williamsport, PA 17701-3109

Mailing address

800 Vinial St
B407A
Pittsburgh, PA 15212-5151
Phone (412) 323-4402

Other identifiers 4

IdentifierTypeStateIssuer
0011040460007MedicaidPA
815185OtherPAFIRST PRIORITY/HMO NE PA
220033349OtherPARR MEDICARE
478439OtherPAHIGHMARK/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000225 PA Practitioner - Pathology 6204002389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York Medical College, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Williamsport Pathology AssocsGroup PAC ID 3678512555, 7 clinicians

Practice addresses (Care Compare)

320 Main St
Johnstown, PA 15901-1601
Phone (814) 533-0134

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

700 High St
Williamsport, PA 17701-3100
Phone (570) 321-2370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039643EPAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsport Area Ambulance Service Cooperative Current Accepting new patients
University of Pittsburgh Physicians Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Williamsport Pathology Assocs. Anatomic Pathology & Clinical Pathology CurrentSince Dec 21, 2011 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

320 Main St
Johnstown, PA 15901
Phone (814) 533-0123

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Organizations & group practices 5

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.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1619080744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VINIAL ST",
            "address_2": "B407A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125151",
            "telephone_number": "412-323-4402",
            "fax_number": "412-323-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 RURAL AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013109",
            "telephone_number": "570-321-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELENKO",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD039643E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011040460007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY/HMO NE PA",
            "identifier": "815185",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "220033349",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUE SHIELD",
            "identifier": "478439",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.