Organization Active NPI

Beldor Group LLC

  • Surgery Physician
  • Plantation, FL
National Provider Identifier
1902259724
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME123276 Issued in FL
Legal business name
BELDOR GROUP LLC
Doing business as
MIB Surgery
Practice address
201 NW 82ND Ave
Suite 301
Plantation, FL 33324-7808
Phone
(888) 362-9902
Fax
(800) 518-6513
NPI assigned
Jul 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Dr. Abel Enrique Bello, M.D.NPI 1891094579
Title
Partner
Phone
(646) 642-0810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME123276 FL Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 60.284987-1 NY
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35.097759 OH
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X ME123342 FL

Addresses

Primary practice location

201 NW 82ND Ave
Suite 301
Plantation, FL 33324-7808

Mailing address

730 NE 191St St
Miami, FL 33179-3922
Phone (786) 916-3621

Other names 1

  • MIB Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009000003 FL Part B Supplier - Clinic/Group Practice 1658646252 Receives reassigned benefits from 2 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

3661 S Miami Ave
Ste 906
Miami, FL 33133
Phone (305) 858-2282

201 NW 70th Ave
Ste 307
Plantation, FL 33317
Phone (954) 249-3950

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1902259724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NE 191ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793922",
            "telephone_number": "786-916-3621",
            "fax_number": "786-916-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "SUITE 301",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247808",
            "telephone_number": "888-362-9902",
            "fax_number": "800-518-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELDOR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "646-642-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME123276",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "60.284987-1",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.097759",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME123342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIB Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.