Belcrest Surgery Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01450 Issued in MD

Legal business name

BELCREST SURGERY CENTER, LLC

Practice address

6505 Belcrest Rd
Suite 1
Hyattsville, MD 20782-2011

Phone

(301) 699-5900

Fax

(301) 699-9297

NPI assigned

Feb 7, 2007

Last updated

Feb 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johny Motran, D.P.M.NPI 1033315031

Title

Manager/Leading Memb

Phone

(301) 699-5900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Belcrest Surgery CenterCCN 21C0001163

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johny J Motran, DPM

  • Foot Surgery Podiatrist
  • Hyattsville, MD
  • NPI 1033315031
  Authorized official Same address or phone
• Mark H Sugar, D.P.M.

  • Foot Surgery Podiatrist
  • Hyattsville, MD
  • NPI 1982610382
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1720128929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86284",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208866284",
            "telephone_number": "301-699-5900",
            "fax_number": "301-699-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 BELCREST RD",
            "address_2": "SUITE 1",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822011",
            "telephone_number": "301-699-5900",
            "fax_number": "301-699-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELCREST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "MOTRAN",
        "authorized_official_first_name": "JOHNY",
        "authorized_official_title_or_position": "MANAGER/LEADING MEMB",
        "authorized_official_telephone_number": "301-699-5900",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aka Edmund Becheake
• Abraham H Bedada, PHARMD
• Ashley Analicia Bedeau, LCPC
• Fetelework Bedeye
• Michele Beku U Nkangno
• Wongel Belihu
• Koji Bello
• Temilope Bello
• Veronica Anna Bempong
• Raissa Benetelie Assana

• Podiatrist in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.