DANIELLE RENE BELLAVANCE MD
NPI 1164008173
Internal Medicine in Boston, MA

Active since March 20, 2021PECOS Enrolled
801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDG, BOSTON, MA 02118(617) 414-5951(617) 414-9201 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2024, Apr 9, 2021, Mar 20, 2021 (3 updates tracked since 2021).

About Danielle Rene Bellavance Md NPPES

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

DANIELLE RENE BELLAVANCE MD (NPI 1164008173) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (1018064) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1164008173
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDANIELLE RENE BELLAVANCECredential: MD
Location Address801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDGBoston, MA 02118-2605
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690
Fax(617) 414-9201
Sole ProprietorNo
Enumeration DateMarch 20, 2021
Last NPPES UpdateMay 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
NPI 1164008173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 1018064
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.

801 MASSACHUSETTS AVE, SUITE 6A, Boston, MA 02118

Secondary Practice Location 1

Location 172 E. Newton St, Ste 124Boston, MA 02118-2308 · Phone (617) 638-7253 · Fax (617) 638-6501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Danielle Rene Bellavance Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDG
BOSTON, MA 02118
Nurse Practitioner (Gerontology)
801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDG
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDG
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDG
BOSTON, MA 02118

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 Danielle Bellavance's NPI number?

The NPI number for Danielle Bellavance is 1164008173. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Danielle Bellavance located?

Danielle Bellavance practices at 801 Massachusetts Ave, Suite 6A Crosstown Bldg, Boston, MA 02118. The listed phone number is (617) 414-5951.

What is Danielle Bellavance's specialty?

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

Is Danielle Bellavance enrolled in Medicare?

Yes. Danielle Bellavance is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Bellavance was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.