Individual provider Active NPI

Nicholaos C Bellos, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1962471128
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G2108 Issued in TX
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

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
128539706MedicaidTX
128539709MedicaidTX
8A9630OtherBCBS
4273577OtherAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000871 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133159627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Baylor College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians
Steven M Pounders MD PLLCGroup PAC ID 7416196092, 6 clinicians

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

LicenseStateTypeSpecialty
G2108TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Steven M Pounders MD PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Citywide I D Associates, Inc Past Accepting new patients
Nicholaos C. Bellos, MD, PA Infectious Disease PastSince Apr 15, 2001 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

  • Direct secure messaging: nbellos321577@direct.ochin.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.