Organization Active NPI

Octavian M. Belcea, MD PA

  • Primary Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1821266198
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OCTAVIAN M. BELCEA, MD PA
Practice address
2810 Wakefield Pines Dr Ste 115
Raleigh, NC 27614-7078
Phone
(919) 488-0111
Fax
(919) 488-0104
NPI assigned
Feb 20, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Octavian M Belcea, MD PANPI 1184695272
Title
Doctor/Owner
Phone
(919) 488-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NC Primary

Addresses

Primary practice location

2810 Wakefield Pines Dr Ste 115
Raleigh, NC 27614-7078

Mailing address

2810 Wakefield Pines Dr Ste 115
Raleigh, NC 27614-7078
Phone (919) 488-0111

Other identifiers 3

IdentifierTypeStateIssuer
0299032OtherCIGNA
5900499MedicaidNC
135J1OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040807000173 NC Part B Supplier - Clinic/Group Practice 7810969193 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1821266198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 WAKEFIELD PINES DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147078",
            "telephone_number": "919-488-0111",
            "fax_number": "919-488-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WAKEFIELD PINES DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147078",
            "telephone_number": "919-488-0111",
            "fax_number": "919-488-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIAN M. BELCEA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BELCEA",
        "authorized_official_first_name": "OCTAVIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "919-488-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0299032",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900499",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "135J1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.