Active NPI
Nicholaos C Bellos, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G2108
- Practice address
- 2603 Oak Lawn Ave
500
Dallas, TX 75219-4021 - Phone
- (214) 396-4201
- Fax
- (469) 453-3335
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G2108 | TX | |
| Internal Medicine Physician | 207R00000X | G2108 | TX | Primary |
Addresses
Primary practice location
2603 Oak Lawn Ave
500
Dallas, TX 75219-4021
Mailing address
2603 Oak Lawn Ave
500
Dallas, TX 75219-4021
Phone (214) 396-4201
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128539706 | Medicaid | TX | |
| 128539709 | Medicaid | TX | |
| 8A9630 | Other | BCBS | |
| 4273577 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924000871 | TX | Practitioner - Infectious Disease | 9133159627 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Baylor College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imed Physician Network, Inc.Steven M Pounders MD PLLC
Practice addresses (Care Compare)
2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782
4211 Cedar Springs Rd
Suite 200
Dallas, TX 75219-2600
Phone (972) 865-4454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2108 | TX | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imed Physician Network, Inc. | Current | Accepting new patients | |
| Steven M Pounders MD PLLC | Internal Medicine | Current | Accepting new patients |
| Citywide I D Associates, Inc | Past | Accepting new patients | |
| Nicholaos C. Bellos, MD, PA | Infectious Disease | Past | Accepting new patients |
Locations
2603 Oak Lawn Ave
Ste 101
Dallas, TX 75219
Phone (214) 219-4000
4211 Cedar Springs Rd
Ste 200
Dallas, TX 75219
Phone (214) 520-8833
2700 W Pleasant Run Rd
#22
Lancaster, TX 75146
Phone (888) 871-1883
2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146
Phone (888) 871-1883
2700 W Pleasant Run Rd
Lancaster, TX 75146
Phone (214) 534-3826
2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515
2700 W Pleasant Run Rd
Ste 370
Lancaster, TX 75146
Phone (469) 206-4515
Interoperability endpoints
- nbellos321577@direct.ochin.org
- nicholaos.bellos@tscm.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1669712261
Internal Medicine, TX
-
- Infectious Disease Physician
- Dallas, TX
- NPI 1902873771
Infectious Disease
-
- Specialist
- Addison, TX
- NPI 1982906244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1962471128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 OAK LAWN AVE",
"address_2": "500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194021",
"telephone_number": "214-396-4201",
"fax_number": "469-453-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 OAK LAWN AVE",
"address_2": "500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194021",
"telephone_number": "214-396-4201",
"fax_number": "469-453-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOS",
"first_name": "NICHOLAOS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "G2108",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G2108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128539706",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128539709",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8A9630",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4273577",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.