Individual provider Active NPI

Jeffrey Belair, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1720306103
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD454002 Issued in PA
Practice address
111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Phone
(215) 955-6385
Fax
(215) 923-6754
NPI assigned
May 11, 2010
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D81629 MD
Diagnostic Radiology Physician 2085R0202X MD044227 DC
Diagnostic Radiology Physician 2085R0202X 036141628 IL
Diagnostic Radiology Physician 2085R0202X MD454002 PA Primary

Addresses

Primary practice location

111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824

Mailing address

111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Phone (215) 955-6385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150616001720 PA Practitioner - Diagnostic Radiology 4789995887 Reassigns benefits to 6 organizations
I20180823002882 NJ Practitioner - Diagnostic Radiology 4789995887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Rittenhouse Imaging Center, LLCGroup PAC ID 5193624583, 39 clinicians
Jeanes Radiology Associates LLCGroup PAC ID 1850290248, 43 clinicians
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, shared by 3 NPIs, 110 clinicians
800 Imaging Associates LLCGroup PAC ID 3173530029, 20 clinicians

Practice addresses (Care Compare)

111 S 11TH St
3Rd FLR Suite 3390
Philadelphia, PA 19107-5098
Phone (800) 858-1662

150 E Pennsylvania Ave
Mdi Dowingtown
Downingtown, PA 19335-2632
Phone (610) 518-6300

1619 Grant Ave
Philadelphia, PA 19115-3167
Phone (215) 676-3300

243 Hurffville Crosskeys Rd
Sewell, NJ 08080-4011
Phone (800) 321-9999

400 Enterprise Dr
102 Mdi Limerick
Limerik, PA 19468-1215
Phone (215) 649-0250

800 W State St
Suite 203
Doylestown, PA 18901-5842
Phone (215) 345-4568

850 Walnut St
Jefferson Outpatient Imaging
Philadelphia, PA 19107-5109
Phone (610) 831-0500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044227DCMDDiagnostic Radiology Physician
D81629MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jun 3, 2017 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology Current Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 3, 2017 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince Jun 3, 2017 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 3, 2019 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Insight Health Corp PastSince Jun 3, 2017 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

243 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 680-9263

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568

1 W Germantown Pike
Norristown, PA 19401
Phone (610) 277-3202

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

111 S 11th St
Ste 3390
Philadelphia, PA 19107
Phone (215) 955-2900

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

Organizations & group practices 11

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.

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1720306103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6385",
            "fax_number": "215-923-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6385",
            "fax_number": "215-923-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAIR",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D81629",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD044227",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036141628",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD454002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.