Active NPI
Ismaila Bello, MD
- Cardiovascular Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 254882
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203-2012 - Phone
- (678) 458-1686
- Fax
- (718) 630-3761
- NPI assigned
- Jan 4, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD216508 | OR | |
| Internal Medicine Physician | 207R00000X | 254882 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 1295 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | 254882 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (678) 458-1686
Other practice location 1
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900
Other practice location 2
415 6TH St
Lewiston, ID 83501
Phone (208) 750-7507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
Locations
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
1698 E McAndrews Rd
Ste 300
Medford, OR 97504
Phone (541) 732-7850
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
Interoperability endpoints
- ibello307681@direct.thedacare.org
Organizations & group practices 8
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Family Medicine Physician
- Sterling, IL
- NPI 1548540636
-
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1679803274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "678-458-1686",
"fax_number": "718-630-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "678-458-1686",
"fax_number": "718-630-3761"
}
],
"practiceLocations": [
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-738-5369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 6TH ST",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ID",
"postal_code": "83501",
"country_code": "US",
"telephone_number": "208-750-7507",
"fax_number": "208-750-7384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLO",
"first_name": "ISMAILA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-04",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD216508",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "254882",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "1295",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "254882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.