Individual provider Active NPI

Devyani Belsare, MD

  • Pediatrics Physician
  • Longwood, FL
National Provider Identifier
1699882290
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME100607 Issued in FL
Practice address
761 Ciara Creek CV
Longwood, FL 32750-4659
Phone
(407) 557-2165
Fax
(407) 550-6409
NPI assigned
Aug 23, 2006
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME100607 FL Primary

Addresses

Primary practice location

761 Ciara Creek CV
Longwood, FL 32750-4659

Mailing address

761 Ciara Creek CV
Longwood, FL 32750-4659
Phone (407) 557-2165

Other identifiers 1

IdentifierTypeStateIssuer
000602500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120327000725 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335309400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Devyani Belsare MD LLC Pediatrics CurrentSince Oct 13, 2024 Accepting new patients

Locations

251 Maitland Ave
Ste 104
Altamonte Springs, FL 32701
Phone (407) 332-5703

761 Ciara Creek Cv
Longwood, FL 32750
Phone (407) 557-2165

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1699882290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CIARA CREEK CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504659",
            "telephone_number": "407-557-2165",
            "fax_number": "407-550-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 CIARA CREEK CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504659",
            "telephone_number": "407-557-2165",
            "fax_number": "407-550-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSARE",
        "first_name": "DEVYANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME100607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000602500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.