Individual provider Active NPI

Caryn Beth Belafsky, MD

  • Family Medicine Physician
  • Medford, OR
National Provider Identifier
1902823735
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD21397 Issued in OR
Practice address
229 W Stewart Ave
Medford, OR 97501-3663
Phone
(514) 618-6441
Fax
(541) 618-6452
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21397MD OR
Internal Medicine Physician 207R00000X 2139MD OR
Internal Medicine Physician 207R00000X MD21397 OR
Pediatrics Physician 208000000X MD21397 OR
Pediatrics Physician 208000000X 21397MD OR
Family Medicine Physician 207Q00000X MD21397 OR Primary

Addresses

Primary practice location

229 W Stewart Ave
Medford, OR 97501-3663

Mailing address

229 W Stewart Ave
Medford, OR 97501-3663
Phone (514) 618-6441

Other identifiers 2

IdentifierTypeStateIssuer
129987MedicaidOR
R105049OtherORMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20070213000185 OR Practitioner - Family PracticePractitioner - Pediatric Medicine 0244232700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1025 Siskiyou Blvd
Ashland, OR 97520-3909
Phone (541) 488-0873

Hospital & facility affiliations

  • Assured Home Health Home health agency, Grants Pass, OR, CCN 387076
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21397ORMDFamily Medicine Physician
2139MDORMDInternal Medicine Physician
21397MDORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caryn Belafsky MD, LLC CurrentSince Nov 2, 2021 Accepting new patients
Rogue Valley Physicians Family Medicine Past Accepting new patients

Locations

1025 Siskiyou Blvd
Ashland, OR 97520
Phone (541) 488-0873

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.

Hospital & facility affiliations 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902823735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W STEWART AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013663",
            "telephone_number": "514-618-6441",
            "fax_number": "541-618-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W STEWART AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013663",
            "telephone_number": "514-618-6441",
            "fax_number": "541-618-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAFSKY",
        "first_name": "CARYN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "21397MD",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "2139MD",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21397",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD21397",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "21397MD",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129987",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "R105049",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.