NPIMap

Individual provider Active NPI

Marisa Pauline Belcastro, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1669634440
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43144 Issued in KY
Practice address
630 Southpoint Dr
Lexington Clinic Veterans Park
Lexington, KY 40515-6350
Phone
(859) 272-1928
Fax
(859) 271-9601
NPI assigned
Jul 2, 2008
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43144 KY Primary

Addresses

Primary practice location

630 Southpoint Dr
Lexington Clinic Veterans Park
Lexington, KY 40515-6350

Mailing address

630 Southpoint Dr
Lexington Clinic Veterans Park
Lexington, KY 40515-6350
Phone (859) 272-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20091007000051 KY Practitioner - Family Practice 8224174107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

630 Southpoint Dr
Lexington, KY 40515-6350
Phone (859) 272-1928

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Jun 1, 2016 Accepting new patients
New Lexington Clinic, PSC CurrentSince Jun 1, 2016 Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

3085 Lakecrest Cir
Lexington, KY 40513
Phone (859) 258-8600

630 Southpoint Dr
Lexington, KY 40515
Phone (859) 258-6102

Organizations & group practices 4

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1669634440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SOUTHPOINT DR",
            "address_2": "LEXINGTON CLINIC VETERANS PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156350",
            "telephone_number": "859-272-1928",
            "fax_number": "859-271-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SOUTHPOINT DR",
            "address_2": "LEXINGTON CLINIC VETERANS PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156350",
            "telephone_number": "859-272-1928",
            "fax_number": "859-271-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCASTRO",
        "first_name": "MARISA",
        "middle_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "43144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.