Active NPI
Beth Belof Jasko, M.D.
- Family Medicine Physician
- Lithia, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME79033
- Practice address
- 13421 Fishhawk Blvd
Lithia, FL 33547-3833 - Phone
- (813) 844-8600
- NPI assigned
- Dec 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME79033 | FL | Primary |
Addresses
Primary practice location
13421 Fishhawk Blvd
Lithia, FL 33547-3833
Mailing address
13421 Fishhawk Blvd
Lithia, FL 33547-3833
Phone (813) 844-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013376800 | Medicaid | FL |
Other names 1
- Beth Belof
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers New Jersey Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13421 Fishhawk Blvd
Lithia, FL 33547-3833
Phone (813) 844-8600
Hospital & facility affiliations
- Pinnacle Home Care
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79033 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
13421 Fishhawk Blvd
Lithia, FL 33547
Phone (813) 844-8600
11966 Boyette Rd
Riverview, FL 33569
Phone (813) 672-0408
409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640
2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- bbelofjasko83479@direct.tgh.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Family Medicine Physician
- Tampa, FL
- NPI 1578800462
-
- Family Medicine Physician
- Tampa, FL
- NPI 1164769063
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1851454516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13421 FISHHAWK BLVD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335473833",
"telephone_number": "813-844-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13421 FISHHAWK BLVD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335473833",
"telephone_number": "813-844-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELOF JASKO",
"first_name": "BETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME79033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013376800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "BELOF",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.