Individual provider Active NPI

Sally Jo Belcher, MD

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1881627214
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D51936 Issued in MD
Practice address
9715 Medical Center Dr Ste 501
Rockville, MD 20850-3356
Phone
(301) 738-0300
Fax
(301) 738-1316
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D51936 MD Primary

Addresses

Primary practice location

9715 Medical Center Dr Ste 501
Rockville, MD 20850-3356

Mailing address

13208 Moran Dr
North Potomac, MD 20878-3923
Phone (301) 519-1670

Other identifiers 1

IdentifierTypeStateIssuer
D51936OtherMDLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100807000054 DC Practitioner - Family Practice 8820121122 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Family Medicine LLC Family Medicine CurrentSince Jun 18, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9715 Medical Center Dr
Ste 501
Rockville, MD 20850
Phone (301) 315-3100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1881627214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13208 MORAN DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783923",
            "telephone_number": "301-519-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 501",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503356",
            "telephone_number": "301-738-0300",
            "fax_number": "301-738-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "SALLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D51936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "D51936",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.