Active NPI
Paul D Belich, MD
- Orthopaedic Surgery Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036049020
- Practice address
- 2160 S 1St Ave BLDG 105-1700
Maywood, IL 60153-3328 - Phone
- (708) 216-5825
- Fax
- (708) 216-5858
- NPI assigned
- Mar 15, 2006
- Last updated
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036049020 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave BLDG 105-1700
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave BLDG 105-1700
Maywood, IL 60153-3328
Phone (708) 216-5825
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21606716 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036049020 | Medicaid | IL | |
| 49127601 | Other | IL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060103000273 | IL | Practitioner - Orthopedic Surgery | 2264450758 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Chicago Orthopaedics and Sports Medicine SC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2160 S 1st Ave
Bldg 101
Maywood, IL 60153
Phone (708) 216-8785
2160 S 1st Ave
Bldg 1051700
Maywood, IL 60153
Phone (708) 216-5825
Interoperability endpoints
- pbelich16404@direct.luhs.org
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.
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1619004082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1821067588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE BLDG 105-1700",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-5825",
"fax_number": "708-216-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE BLDG 105-1700",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-5825",
"fax_number": "708-216-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELICH",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036049020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21606716",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036049020",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "49127601",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.