Active NPI
Evan Tep Belfer, MD
- Family Medicine Physician
- Murphysboro, IL
National Provider Identifier
1689780876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-107906
- Practice address
- 801 N 14TH St
Murphysboro, IL 62966 - Phone
- (618) 687-2319
- Fax
- (618) 684-3321
- NPI assigned
- Aug 22, 2006
- Last updated
- Apr 7, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036107906 | IL | |
| Family Medicine Physician | 207Q00000X | 036-107906 | IL | Primary |
Addresses
Primary practice location
801 N 14TH St
Murphysboro, IL 62966
Mailing address
801 N 14TH St
Murphysboro, IL 62966
Phone (618) 687-2319
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-107906 | Medicaid | IL | |
| 431741 | Other | HEALTH LINK | |
| 078338 | Other | HEALTH ALLIANCE | |
| 039-32006 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Evan Tep Belfer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Physicians and Surgeons (Iowa), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
2421 W Main St
Suite a
Carbondale, IL 62901-1039
Phone (618) 529-3201
801 N 14TH St
Murphysboro, IL 62966-1611
Phone (618) 687-2319
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-107906 | IL | MD | Family Medicine Physician |
| 036107906 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evan T Belfer MD SC | Current | Accepting new patients |
Locations
801 N 14th St
Murphysboro, IL 62966
Phone (618) 687-2319
Organizations & group practices 1
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.
-
- Clinic/Center
- Murphysboro, IL
- NPI 1184927303
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
- Home Health Agency
- Marion, IL
- NPI 1235556838
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba St. Joseph Memorial Hospital
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1689780876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N 14TH ST",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "62966",
"telephone_number": "618-687-2319",
"fax_number": "618-684-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 14TH ST",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "62966",
"telephone_number": "618-687-2319",
"fax_number": "618-684-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELFER",
"first_name": "EVAN",
"middle_name": "TEP",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036107906",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-107906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-107906",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "431741",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "078338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "039-32006",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EVAN",
"last_name": "BELFER",
"middle_name": "TEP",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Murphysboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.