Individual provider Active NPI

Belinda A.L. Collias, D.O.

  • Internal Medicine Physician
  • Immokalee, FL
National Provider Identifier
1922419027
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS15582 Issued in FL
Practice address
1454 Madison Ave W
Immokalee, FL 34142-2200
Phone
(239) 658-3707
NPI assigned
May 12, 2014
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS15582 FL Primary
Pediatrics Physician 208000000X OS15582 FL

Addresses

Primary practice location

1454 Madison Ave W
Immokalee, FL 34142-2200

Mailing address

874 Tanbark Dr Apt 202
Naples, FL 34108-7543
Phone (901) 896-5208

Other practice location 1

874 Tanbark Dr Apt 202
Naples, FL 34108
Phone (901) 896-5208

Other practice location 2

350 7th St N
Naples, FL 34102-5754
Phone (239) 624-2480

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15582FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pediatrics of Memphis, PLLC Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBAICD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1922419027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 TANBARK DR APT 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341087543",
            "telephone_number": "901-896-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Tanbark Dr Apt 202",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "34108",
            "country_code": "US",
            "telephone_number": "901-896-5208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 7th St N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025754",
            "country_code": "US",
            "telephone_number": "239-624-2480",
            "fax_number": "239-624-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIAS",
        "first_name": "BELINDA",
        "middle_name": "A.L.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS15582",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS15582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Immokalee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.