Individual provider Active NPI

Robert L Belluso, D.O.

  • Family Medicine Physician
  • Charleroi, PA
National Provider Identifier
1912192568
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014501 Issued in PA
Practice address
200 Chamber PLZ
Charleroi, PA 15022-1605
Phone
(724) 483-5482
Fax
(724) 483-5856
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 OS014501 PA Primary

Addresses

Primary practice location

200 Chamber PLZ
Charleroi, PA 15022-1605

Mailing address

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Other identifiers 4

IdentifierTypeStateIssuer
1007288440105MedicaidPA
1007288440027MedicaidPA
BE2068817OtherPAHIGHMARK
102202071MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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
I20080820000017 PA Practitioner - Family Practice 0648345033 Reassigns benefits to 1 organization
I20201221000230 WV Practitioner - Family Practice 0648345033 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Family Medicine CurrentSince Jun 14, 2010 Accepting new patients
Centerville Clinics, Inc CurrentSince Jun 14, 2010 Accepting new patients
Pinnacle Treatment Centers PA-I, LLC CurrentSince Aug 29, 2022 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Jan 4, 2021 Accepting new patients
Pinnacle Treatment Centers PA-II, LLC CurrentSince Aug 29, 2022 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Pinnacle Treatment Centers PA-VIII, LLC CurrentSince Jul 19, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

200 Chamber Plz
Charleroi, PA 15022
Phone (724) 483-5482

1070 Old National Pike
Fredericktown, PA 15333

739 Ensign Ave
Pittsburgh, PA 15226
Phone (412) 488-6360

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

Organizations & group practices 11

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1912192568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801",
            "fax_number": "724-632-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHAMBER PLZ",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221605",
            "telephone_number": "724-483-5482",
            "fax_number": "724-483-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLUSO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440105",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440027",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "BE2068817",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102202071",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

Verify at the official NPI Registry.