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BELLEFONTE MEDICAL CENTER INC
NPI 1124003488
Internal Medicine in Greenup, KY

Active since December 09, 2005CLIA 18D2092539 · Waiver
401 US ROUTE 23, GREENUP, KY 41144(606) 473-1501(606) 473-1503 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bellefonte Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLEFONTE MEDICAL CENTER INC (NPI 1124003488) is a healthcare organization registered as an internal medicine in Greenup, Kentucky and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Jesus Presto Querubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1124003488
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBELLEFONTE MEDICAL CENTER INC
Location Address401 US ROUTE 23Greenup, KY 41144-1074
Mailing AddressPo Box 828Greenup, KY 41144-1074 · (606) 473-1501 · Fax (606) 473-1503
Phone(606) 473-1501
Fax(606) 473-1503
Organization SubpartNo
Authorized OfficialJesus Presto QuerubinOwner · (606) 473-1501
Enumeration DateDecember 9, 2005
Last NPPES UpdateNovember 23, 2009
✔ NPI 1124003488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
401 US ROUTE 23, Greenup, KY 41144
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Other Identifiers 4

Other000000235494Anthem Bcbs
OtherDA4715Rr Medicare
Medicare ID-Type Unspecified7822KY
Medicaid65939936KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellefonte Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20031216000486Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bellefonte Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jesus Querubin, MD
Internal Medicine
NPI 1609965375
401 US 23
Greenup, KY 41144
(606) 473-1501
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2092539

Bellefonte Medical Center · Greenup, KY
Active · expires Feb 3, 2028
CLIA Number18D2092539
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorJesus Querubin Jr
Laboratory Phone(606) 473-1501
Laboratory LocationBellefonte Medical Center401 Us 23, Greenup, KY 41144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bellefonte Medical Center Inc's NPI number?

The NPI number for Bellefonte Medical Center Inc is 1124003488. It was assigned to this organization in the NPPES registry on December 9, 2005.

Where is Bellefonte Medical Center Inc located?

Bellefonte Medical Center Inc is located at 401 Us Route 23, Greenup, KY 41144. The listed phone number is (606) 473-1501.

What is Bellefonte Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bellefonte Medical Center Inc enrolled in Medicare?

Yes. Bellefonte Medical Center Inc is registered in the Medicare PECOS enrollment system.

When is Bellefonte Medical Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bellefonte Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bellefonte Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bellefonte Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2092539) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bellefonte Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Bellefonte Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bellefonte Medical Center Inc was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.