Haritha Bellam, M.D.,

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

P7070 Issued in TX

Practice address

5615 Deauville Ste 240
Midland, TX 79706-2709

Phone

(432) 221-5560

NPI assigned

Nov 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Rheumatology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Reeves Regional Health Hospital, Pecos, TX, CCN 451377
• Big Bend Regional Medical Center Hospital, Alpine, TX, CCN 451378
• Pecos County Memorial Hospital Hospital, Fort Stockton, TX, CCN 451389

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• Direct secure messaging: haritha.bellam.1@3522.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.

• Premier Family Care I, Inc

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group
• Premier Physicians

  • Physician Assistant
  • Midland, TX
  • NPI 1316241995
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Big Bend Hospital Corporation

  • Critical Access Hospital
  • Alpine, TX
  • NPI 1356312243

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994

  Hospital

  Care Compare affiliation
• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817

  Hospital

  Care Compare affiliation
• Pecos County Memorial Hospital District

  • Critical Access Hospital
  • Fort Stockton, TX
  • NPI 1073200309

  Hospital

  Care Compare affiliation
• Reeves County Hospital District

  • Critical Access Hospital
  • Pecos, TX
  • NPI 1831170273

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1770883191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-221-5960",
            "fax_number": "432-221-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062709",
            "telephone_number": "432-221-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAM",
        "first_name": "HARITHA",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069674A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "036.126660",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "P7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201037390",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICARE - PREMIER",
            "identifier": "415412YPVD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000734012",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haritha.bellam.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5615 Deauville Ste 240",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797062709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary Belew, CRNA
• Roger Belizaire, M.D.
• Isabel Elyse Bell, CRNA
• Randell Wallace Bell, DDS
• Susan Denise Bell
• Courtney Nicole Bellamy, CNP
• Dario Beltran, MD
• Ben-Ray Inc Dba Providerx
• Blake Benavides
• Maureena Benavides, LPC

• Rheumatology Physician in Midland, TX
• Providers in Midland, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.