Deanne Margaret Lim Bellosa, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

L.5915R Issued in AL

Practice address

1851 N McKenzie St
Foley, AL 36535-4700

Phone

(251) 424-1232

Fax

(251) 424-1954

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deanne Lim Bellosa Professional name

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deanna.bellosa.1@1599.direct.athenahealth.com

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.

• Paniolo Pediatric and Family Medicine Inc

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  • NPI 1053812990

  HI

  Medicare reassignment NPD
• Lawrence Derbes MD Inc.

  • Interventional Cardiology Physician
  • Kamuela, HI
  • NPI 1578702007
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1740944610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N MCKENZIE ST STE 203",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365354702",
            "telephone_number": "251-677-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365354700",
            "telephone_number": "251-424-1232",
            "fax_number": "251-424-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOSA",
        "first_name": "DEANNE MARGARET",
        "middle_name": "LIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.5915R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNE",
            "last_name": "BELLOSA",
            "middle_name": "LIM",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beach Life Chiropractic LLC
• Amy Beasley, CRNP
• Bayley Beasley
• Jaleah Beckley, CRNP
• Roy R Bell
• Benchmark Physical Therapy of Alabama, LLC
• Michael Alan Berry, M.D
• Best Clinic, PC
• Better Living, Inc
• Beyond Measure Therapy, LLC

• All providers in Foley, AL
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.