NPIMap

Individual provider Active NPI

Laurence H Belkoff, D.O.

  • Urology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1689679938
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS005275L Issued in PA
Practice address
1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004-1017
Phone
(610) 667-3020
Fax
(610) 667-1817
NPI assigned
Jun 14, 2005
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X OS005275L PA Primary

Addresses

Primary practice location

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004-1017

Mailing address

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004-1017
Phone (610) 667-3020

Other identifiers 1

IdentifierTypeStateIssuer
0010837230007MedicaidPA

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
I20040809000982 PA Practitioner - Urology 7810969029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Presidential Blvd
Bala Cynwyd, PA 19004-1017
Phone (610) 632-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005275LPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Bala ASC Urology CurrentSince Dec 17, 2021 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Midlantic Urology Surgery Center, LLC Current Accepting new patients
325 ASC, LLC CurrentSince Sep 4, 2017 Accepting new patients
Alliance Physician Services, PC Urology Current Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients
Northeastern Urological Associates Urology Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Urology Past Accepting new patients

Locations

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004
Phone (610) 632-4100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

325 W Germantown Pike
Ste 100
Norristown, PA 19403
Phone (610) 272-1881

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: laurencebelkoff@midlantic.medalliesdirect.net

Organizations & group practices 9

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 12

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1689679938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "STE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "STE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKOFF",
        "first_name": "LAURENCE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "OS005275L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010837230007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.