Individual provider Active NPI

Edward Belkin, M.D.

  • Gastroenterology Physician
  • Brockton, MA
National Provider Identifier
1679868541
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
257948 Issued in MA
Practice address
189 Quincy St
Brockton, MA 02302-2967
Phone
(508) 588-6700
NPI assigned
Jun 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 257948 MA Primary

Addresses

Primary practice location

189 Quincy St
Brockton, MA 02302-2967

Mailing address

189 Quincy St
Brockton, MA 02302-2967
Phone (508) 588-6700

Other practice location 1

1 Compass Way
East Bridgewater, MA 02333-1465
Phone (508) 350-2942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621001000 MA Practitioner - Gastroenterology 9638301559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Massachusetts Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gis Services 2 LLCGroup PAC ID 1355674755, 10 clinicians
Gastrointestinal Specialists, LLCGroup PAC ID 9638107451, 10 clinicians

Practice addresses (Care Compare)

189 Quincy St
Brockton, MA 02302-2967
Phone (508) 588-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.73 of 100Reported as apm
Quality
60.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257948MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists, LLC Gastroenterology CurrentSince May 28, 2018 Accepting new patients

Locations

189 Quincy St
Brockton, MA 02302
Phone (508) 588-6700

1 Donalds Way
Ste 203
East Bridgewater, MA 02333
Phone (508) 350-2940

35 Summer St
Ste 201
Taunton, MA 02780
Phone (508) 821-4100

Interoperability endpoints

  • Direct secure messaging: ebelkin448823@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1679868541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022967",
            "telephone_number": "508-588-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022967",
            "telephone_number": "508-588-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Compass Way",
            "address_purpose": "LOCATION",
            "city": "East Bridgewater",
            "state": "MA",
            "postal_code": "023331465",
            "country_code": "US",
            "telephone_number": "508-350-2942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELKIN",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "257948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.