Individual provider Active NPI

Yakov G Belenky, M.D.

  • Anesthesiology Physician
  • Lafayette, IN
National Provider Identifier
1760588149
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01045443A Issued in IN
Practice address
2600 Greenbush St
Lafayette, IN 47904-2477
Phone
(765) 448-8000
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01045443A IN Primary

Addresses

Primary practice location

2600 Greenbush St
Lafayette, IN 47904-2477

Mailing address

1200 W White River Blvd
RCS Provider Enrollment
Muncie, IN 47303-4988
Phone (765) 254-4009

Other practice location 1

416 E Monroe St
Suite 200
South Bend, IN 46601-2360
Phone (574) 232-8119

Other practice location 2

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000

Other identifiers 3

IdentifierTypeStateIssuer
000000347308OtherINBLUE SHIELD - REID HOSP
200112280MedicaidIN
2480524MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041115001125 IN Practitioner - Anesthesiology 7012986987 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045443AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The South Bend Clinic LLC Current Accepting new patients
Southeast Anesthesiologists, Inc. Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Jebs Anesthesia Consultants, LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Arnett Clinic, LLC Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Arnett Clinic, LLC CurrentSince Sep 1, 2019 Accepting new patients
Sda Consultants PLLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Apollo Medical Group LLC Anesthesiology CurrentSince Jul 24, 2020 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Lake George Surgery Center, LLC PastSince Aug 1, 2020 Accepting new patients
Marion Anesthesiology, PC Anesthesiology Past Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

7747 W Jefferson Blvd
#A
Fort Wayne, IN 46804
Phone (260) 459-8444

11277 Twin Creeks Dr
Fort Wayne, IN 46845
Phone (260) 422-3937

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

2600 Greenbush St
Lafayette, IN 47904

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

900 I St
Laporte, IN 46350
Phone (219) 324-1670

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1760588149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "address_2": "RCS PROVIDER ENROLLMENT",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "765-254-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENBUSH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042477",
            "telephone_number": "765-448-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 E Monroe St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466012360",
            "country_code": "US",
            "telephone_number": "574-232-8119",
            "fax_number": "574-288-0235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5165 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058764",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELENKY",
        "first_name": "YAKOV",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01045443A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD - REID HOSP",
            "identifier": "000000347308",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112280",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.