Active NPI
Nicholas John Belitsos, MD
- Gastroenterology Physician
- Baltimore, MD
National Provider Identifier
1730114398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D0018269
- Practice address
- 4924 Campbell Blvd
Baltimore, MD 21236-5908 - Phone
- (443) 442-2300
- Fax
- (443) 442-2360
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D0018269 | MD | Primary |
Addresses
Primary practice location
4924 Campbell Blvd
Baltimore, MD 21236-5908
Mailing address
4924 Campbell Blvd
Baltimore, MD 21236-5908
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264841500 | Medicaid | MD | |
| CI6149 | Other | GA | RAILROAD MEDICARE |
Other names 1
- N J Belitsos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0018269 | MD | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1730114398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4924 CAMPBELL BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212365908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4924 CAMPBELL BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212365908",
"telephone_number": "443-442-2300",
"fax_number": "443-442-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELITSOS",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D0018269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264841500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI6149",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N",
"last_name": "BELITSOS",
"middle_name": "J",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.