Active NPI
Belcrest Surgery Center, LLC
- Podiatrist
- Hyattsville, MD
National Provider Identifier
1720128929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01450
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johny Motran, D.P.M.
- Title
- Manager/Leading Memb
- Phone
- (301) 699-5900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Podiatrist | 213E00000X | 01450 | MD | Primary |
Addresses
Primary practice location
6505 Belcrest Rd
Suite 1
Hyattsville, MD 20782-2011
Mailing address
PO Box 86284
Montgomery Village, MD 20886-6284
Phone (301) 699-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140311001192 | DC | Part B Supplier - Ambulatory Surgical Center | 0244460392 | Practice locations: Hyattsville, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Belcrest Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6505 Belcrest Rd
Ste 1
Hyattsville, MD 20782
Phone (202) 964-1160
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Hyattsville, MD
- NPI 1982610382
NPI Registry JSON
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": []
}
Other providers in Hyattsville, MD
Sources for this page
- 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.