Active NPI
David Anthony Belvedere, M.D.
- Cardiovascular Disease Physician
- Poland, OH
National Provider Identifier
1881699585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35061281
- Practice address
- 715 E Western Reserve Rd
Poland, OH 44514-3358 - Phone
- (330) 726-3204
- Fax
- (330) 729-9316
- NPI assigned
- Jun 17, 2005
- Last updated
- Sep 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35061281 | OH | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 35061281 | OH |
Addresses
Primary practice location
715 E Western Reserve Rd
Poland, OH 44514-3358
Mailing address
715 E Western Reserve Rd
Poland, OH 44514-3358
Phone (330) 726-3204
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0836886 | Medicaid | OH | |
| 18816995850 | Other | PA | NPI# |
| 18816995850 | Other | OH | NPI # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35061281 | OH | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Elizabeth Cardiac Cath Lab, LLC | Past | Accepting new patients | |
| Advanced Cardiology, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Advanced Cardiology, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- dbelvedere34934@direct.bsmhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Poland, OH
- NPI 1477515153
-
dba The Heart Lab at St. Elizabeth's
- Cardiology Technician
- Youngstown, OH
- NPI 1437300910
-
dba The Heart Center
- Cardiovascular Disease Physician
- New Castle, PA
- NPI 1720042468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1881699585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 E WESTERN RESERVE RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445143358",
"telephone_number": "330-726-3204",
"fax_number": "330-729-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E WESTERN RESERVE RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445143358",
"telephone_number": "330-726-3204",
"fax_number": "330-729-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELVEDERE",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35061281",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "OH",
"license": "35061281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0836886",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI#",
"identifier": "18816995850",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI #",
"identifier": "18816995850",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.