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BELLEROSE MEDICALCARE P.C.
NPI 1265533517
Internal Medicine in Queens Village, NY

Active since September 26, 2006
8602 MUSKET ST, QUEENS VILLAGE, NY 11427(718) 776-0555(718) 776-7271 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bellerose Medicalcare P.c. NPPES

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

BELLEROSE MEDICALCARE P.C. (NPI 1265533517) is a healthcare organization registered as an internal medicine in Queens Village, New York and active in the NPI registry since September 2006. The organization lists Kanan Barot, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1265533517
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBELLEROSE MEDICALCARE P.C.
Location Address8602 MUSKET STQueens Village, NY 11427-2718
Mailing Address1100 Shames Dr, Suite 100Westbury, NY 11590-1765 · (516) 693-0700 · Fax (516) 693-0271
Phone(718) 776-0555
Fax(718) 776-7271
Organization SubpartNo
Authorized OfficialKanan BarotBilling Manager · (516) 693-0700
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265533517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 214896
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.
8602 MUSKET ST, Queens Village, NY 11427
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Other Identifiers 1

Medicaid02056100NY

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

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)

Bellerose Medicalcare P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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
StateNew YorkEnrollment IDO20060427000293Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
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 Bellerose Medicalcare P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Azra Wiqas, MD
Internal Medicine
NPI 1033210646
8602 MUSKET ST
Queens Village, NY 11427
(718) 776-0555
✔ 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.

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 Bellerose Medicalcare P.C.'s NPI number?

The NPI number for Bellerose Medicalcare P.C. is 1265533517. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Bellerose Medicalcare P.C. located?

Bellerose Medicalcare P.C. is located at 8602 Musket St, Queens Village, NY 11427. The listed phone number is (718) 776-0555.

What is Bellerose Medicalcare P.C.'s specialty?

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

Is Bellerose Medicalcare P.C. enrolled in Medicare?

Yes. Bellerose Medicalcare P.C. is registered in the Medicare PECOS enrollment system.

When is Bellerose Medicalcare P.C.'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 (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Bellerose Medicalcare P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bellerose Medicalcare P.C.. 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.

When was this NPI record last updated?

The NPPES record for Bellerose Medicalcare P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.