Maryam Shogofa Belavilas, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME124322 Issued in FL

Practice address

225 Mariner Blvd
Spring Hill, FL 34609

Phone

(352) 688-0100

Fax

(352) 688-1003

NPI assigned

May 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mbelavilas295866@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• All Care Urgent Care, LLC Dba Family Express Urgent Care

  • Urgent Care Clinic/Center
  • Lutz, FL
  • NPI 1447779681
  NPD (past)
• All Pediatric Care, P.a.

  • Pediatrics Physician
  • Spring Hill, FL
  • NPI 1942260245
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1962762930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-688-0100",
            "fax_number": "352-688-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-688-0100",
            "fax_number": "352-688-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAVILAS",
        "first_name": "MARYAM",
        "middle_name": "SHOGOFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME124322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavior Analysis Support Services, Inc
• Behavioral Health Assessment Services for Kids, LLC (BHAS for Kids)
• Behavioral Health Associates
• Madison Behling
• Diane Beilstein, LMT
• Belladonna OB/GYN & Associates PA
• Nancy Beltz, LMHC
• James Benner, RPH
• Sheno Allicia Bennett, DMD
• Dalton M Benson, M.D.

• Pediatrics Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.