Individual provider Active NPI

Ismael Abiera Beloso II, D.O.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1750538922
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10148 Issued in FL
Practice address
6000 Turkey Lake Rd
Suite 209
Orlando, FL 32819-4200
Phone
(407) 648-5252
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10148 FL Primary

Addresses

Primary practice location

6000 Turkey Lake Rd
Suite 209
Orlando, FL 32819-4200

Mailing address

6000 Turkey Lake Rd
Suite 209
Orlando, FL 32819-4200
Phone (407) 648-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240617001615 FL Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 1850556499

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of Florida, LLC Family Medicine CurrentSince Mar 24, 2019 Accepting new patients
Sigma Medical Group, LLC Family Medicine CurrentSince Jun 28, 2017 Accepting new patients

Locations

110 Pond Ct
Ste 303
Debary, FL 32713
Phone (386) 337-3525

609 N Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 337-3525

819 N Central Ave
Kissimmee, FL 34741
Phone (407) 288-8242

225 W State Road 434
Ste 203
Longwood, FL 32750
Phone (407) 459-4360

6909 Old Highway 441 S
Ste 300
Mount Dora, FL 32757
Phone (352) 383-7703

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1750538922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD",
            "address_2": "SUITE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194200",
            "telephone_number": "407-648-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD",
            "address_2": "SUITE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194200",
            "telephone_number": "407-648-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOSO",
        "first_name": "ISMAEL",
        "middle_name": "ABIERA",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.