James T Belisle, MD
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Norwalk, CT
NPI 1679543136 · NPPES record last updated Apr 25, 2022
Key facts
- NPI
- 1679543136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- 029963 (CT)
- Practice address
- 24 Stevens St
Norwalk, CT 06850-3852 - Phone
- (203) 855-3683
- Fax
- (203) 952-3413
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081013000136 | CT | Practitioner - Pediatric Medicine |
6204904667 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029963 | CT | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Specialists of Southeastern Connecticut, Inc. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 029963 | CT | Yes |
Addresses
Primary practice location
24 Stevens St
Norwalk, CT 06850-3852
Mailing address
24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 855-3683
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010029963CT02 | Other | CT | ANTHEM B/C |
| OV8255 | Other | CT | HEALTHNET |
| 001299636 | Medicaid | CT | |
| 722078 | Other | CT | CONNECTICARE |
| 7142170 | Other | CT | AETNA |
Other providers in Norwalk, CT
- Erin Faith Behe
- Caryl J Behmoiras
- Paul R Beiles
- Stacy Belanger
- Trinity Belgrave
- Bernadette Belizaire
- George W Bell
- Kimberly Joy Bell
- Monica Lynette Bello
- Stuart Howard Bender
All providers in Norwalk, CT · Neonatal-Perinatal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.