Individual provider Active NPI

Rey N Bello, MD

  • Neurology Physician
  • Knoxville, TN
National Provider Identifier
1780796409
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
54454 Issued in TN
Practice address
6311 Kingston Pike Ste 3E
Knoxville, TN 37919
Phone
(865) 248-3138
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 54454 TN Primary

Addresses

Primary practice location

6311 Kingston Pike Ste 3E
Knoxville, TN 37919

Mailing address

6311 Kingston Pike Ste 3E
Knoxville, TN 37919-4906
Phone (865) 248-3138

Other practice location 1

444 60th Street
West New York, NJ 07093-2200
Phone (201) 861-5888

Other practice location 2

6311 Kingston Pike Ste 3E
Knoxville, TN 37919
Phone (865) 248-3138

Other practice location 3

301 S Gallaher View Rd Ste 227
Knoxville, TN 37919-5361
Phone (865) 691-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20201026001246 TN Practitioner - Addiction Medicine 1052731379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
The Richli Group, LLCGroup PAC ID 7810149127, 2 clinicians

Practice addresses (Care Compare)

301 S Gallaher View Rd
Suite 227
Knoxville, TN 37919-5361
Phone (865) 691-0921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54454TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Aesthetics & Regenerative Center Neurology CurrentSince Jun 21, 2020 Accepting new patients
The Richli Group, LLC CurrentSince Jul 28, 2020 Accepting new patients
Parkway Medical & Rehabilitation, PC Past Accepting new patients

Locations

301 S Gallaher View Rd
Ste 227
Knoxville, TN 37919
Phone (865) 690-0962

6311 Kingston Pike
Ste 3E
Knoxville, TN 37919
Phone (865) 248-3138

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1780796409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 3E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-248-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 3E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-248-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 60th Street",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070932200",
            "country_code": "US",
            "telephone_number": "201-861-5888",
            "fax_number": "201-861-5544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6311 Kingston Pike Ste 3E",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37919",
            "country_code": "US",
            "telephone_number": "865-248-3138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Gallaher View Rd Ste 227",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195361",
            "country_code": "US",
            "telephone_number": "865-691-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLO",
        "first_name": "REY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "54454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.