Active NPI
Dimitri Belkin, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD467388
- Practice address
- 111 S 11TH St
Philadelphia, PA 19107 - Phone
- (215) 955-6180
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 267309 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD467388 | PA | Primary |
Addresses
Primary practice location
111 S 11TH St
Philadelphia, PA 19107
Mailing address
833 Chestnut St Ste 701
Philadelphia, PA 19107-4409
Phone (215) 955-6180
Other practice location 1
725 Albany Street, Shapiro 5 & 6
Boston, MA 02118-2526
Phone (617) 414-5951
Other practice location 2
725 Albany Street, Shapiro 5 & 6
Boston, MA 02118-2526
Phone (617) 414-5951
Other practice location 3
833 Chestnut St Ste 701
Philadelphia, PA 19107-4409
Phone (215) 955-6180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- 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
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 High St
Suite 200
Lewiston, ME 04240-7689
Phone (207) 795-5770
300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900
420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1000
77 Bates St
Suite 201
Lewiston, ME 04240-7637
Phone (207) 795-5784
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 49 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD467388 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
77 Bates St
Ste 202
Lewiston, ME 04240
Phone (207) 784-5784
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Maine Urgent Care
- Urgent Care Clinic/Center
- Lewiston, ME
- NPI 1063136786
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1861856155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074409",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-955-6180"
}
],
"practiceLocations": [
{
"address_1": "725 Albany Street, Shapiro 5 & 6",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182526",
"country_code": "US",
"telephone_number": "617-414-5951",
"fax_number": "617-414-9251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Albany Street, Shapiro 5 & 6",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182526",
"country_code": "US",
"telephone_number": "617-414-5951",
"fax_number": "617-414-9251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 Chestnut St Ste 701",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074409",
"country_code": "US",
"telephone_number": "215-955-6180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELKIN",
"first_name": "DIMITRI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "267309",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD467388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.