Individual provider Active NPI

Emilio S. Belaval, M.D.

  • Emergency Medicine Physician
  • North Providence, RI
National Provider Identifier
1871568352
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD10920 Issued in RI
Practice address
200 High Service Ave
North Providence, RI 02904-5113
Phone
(401) 456-3000
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD10920 RI Primary

Addresses

Primary practice location

200 High Service Ave
North Providence, RI 02904-5113

Mailing address

PO Box 65377
Charlotte, NC 28265-0377
Phone (800) 377-8721

Other identifiers 4

IdentifierTypeStateIssuer
27509-5OtherRIBLUECROSS BLUESHIELD
P00171408OtherRAILROAD
7009960MedicaidRI
409700OtherRIBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040823000051 RI Practitioner - Emergency Medicine 6002880465 Reassigns benefits to 1 organization
I20190822001632 TX Practitioner - Emergency Medicine 6002880465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Southern Illinois University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Southwest Medical Services Inc Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince Jul 12, 2019 Accepting new patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Nov 12, 2024 Accepting new patients
Northwest Texas Healthcare System Inc Past Accepting new patients

Locations

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1871568352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65377",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282650377",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAVAL",
        "first_name": "EMILIO",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD10920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "27509-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00171408",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009960",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409700",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.