Individual provider Active NPI

John P Belardo, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1720196314
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17979 Issued in OK
Practice address
11308 N Pennsylvania Ave
Oklahoma City, OK 73120
Phone
(405) 755-7700
Fax
(405) 463-0794
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17979 OK Primary

Addresses

Primary practice location

11308 N Pennsylvania Ave
Oklahoma City, OK 73120

Mailing address

11308 N Pennsylvania Ave
Oklahoma City, OK 73120
Phone (405) 755-7700

Other identifiers 2

IdentifierTypeStateIssuer
180045960OtherOKMEDICARE RAILROAD
100016650AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040909000473 OK Practitioner - Ophthalmology 0840266094 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocular Physicians AssociatesGroup PAC ID 0941276190, 2 clinicians

Practice addresses (Care Compare)

11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752
Phone (405) 755-7700

Hospital & facility affiliations

  • The Physicians' Hospital in Anadarko Hospital, Anadarko, OK, CCN 371314
  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220
  • Rural Wellness Stroud Hospital Hospital, Stroud, OK, CCN 371316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17979OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Eye Institute Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Rural Wellness Stroud Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ocular Physicians of Chickasha, PLLC Ophthalmology CurrentSince Jan 4, 2022 Accepting new patients
Oklahoma Eye Institute, LLC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince May 11, 2024 Accepting new patients
Ocular Physicians Associates CurrentSince Jul 1, 2001 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince May 11, 2024 Accepting new patients
Hospital for Special Surgery L L C Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

2222 W Iowa Ave
Chickasha, OK 73018

1020 N Main St
Elk City, OK 73644
Phone (580) 255-1555

11308 N Pennsylvania Ave
Oklahoma City, OK 73120
Phone (405) 755-7700

Dept 960617
Oklahoma City, OK 73196

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

Interoperability endpoints

  • Direct secure messaging: jbelardo@direct.uspi.com
  • Direct secure messaging: john.belardo@direct.stjohnhealthsystem.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1720196314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-755-7700",
            "fax_number": "405-463-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11308 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-755-7700",
            "fax_number": "405-463-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELARDO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "17979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180045960",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.