DR. BELAL HEGAZY (NPI# 1205103793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205103793 |
| Entity Type | Individual |
| Full Name | DR. BELAL HEGAZY |
| Credential | M.D. |
| Practice Address |
6050 Sterling Creek Rd Portage IN 46368-7752 |
| Mailing Address |
Po Box 1430 Portage IN 46368-9230 |
| Practice Telephone | 2197638112 |
| Practice Fax Number | 2197645380 |
| Mailing Telephone | 2197638112 |
| Mailing Fax Number | 2197645380 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01082325A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301102181 | MI | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
4301102181 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE MEDICAL LICENSE | 301205-01 | 01 |
| MI | STATE MEDICAL LICENSE | 4301102181 | 01 |
| IN | MEDICARE PTAN | 191360044 | 01 |
| IN | 300033251 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10499 N 48th St, Skywood Receovery, Augusta, MI 490129500 | 2692827700 |
| Street Address |
6050 STERLING CREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596401 | Leslie Diane Armiger | Social Worker | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2005-08-30 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1780215574 | Michael Barrera | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-01-30 |
| 1053889915 | Audrey Simone Dawson | Optometrist | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2018-11-08 |
| 1073012498 | Michael Paul Plebanski | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2018-02-12 |
| 1457865651 | Megan K Walker | Nurse Practitioner | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-11-27 |
| 1134650013 | Christine Mary Kazlauskas | Pediatrics | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-03-23 |
| 1619415874 | Roshanda Grayson-thomas | Registered Nurse | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-02-08 |
| 1285085241 | L. Allen Grecula | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2016-06-30 |
| 1376942383 | Raheel Khatri | Dentist | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| 1639330624 | Kevin Anthony Kunzer | Psychiatry & Neurology | 1350 W Centre Ave Ste 110, Portage, MI 49024-5361 | 2008-06-23 |
| 1437352689 | Niaz Mohammad | Psychiatry & Neurology | 7895 Currier Dr, Portage, MI 49002-4314 | 2007-06-06 |
| 1255436705 | Mario Rl Valenzuela | Psychiatry & Neurology | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-09-13 |
| 1063526580 | Tammy Ann Pierner | Psychiatry & Neurology | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051641 | Optimal Medical Services LLC | Psychiatry & Neurology | 10967 Allisonville Rd Ste 110b, Fishers, IN 46038-2634 | 2020-07-23 |
| 1457988107 | Quality 360 Healthcare Alliance | Psychiatry & Neurology | 12900 N Meridian St Ste 140, Carmel, IN 46032-5401 | 2020-03-24 |
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1932697968 | Cadience Psych LLC | Psychiatry & Neurology | 1340 Blackthorne Trl N, Plainfield, IN 46168-5603 | 2018-04-25 |
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1053761460 | Joel D Hart | Psychiatry & Neurology | 147 E Us Highway 36, Lynn, IN 47355-9193 | 2016-06-16 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
| 1447665559 | Anne Roney Wessel | Psychiatry & Neurology | 5811 Kingsley Dr, Indianapolis, IN 46220-2712 | 2014-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.