DR. KENNETH BELITSIS M.D.
NPI 1427157155
Internal Medicine - Gastroenterology in Eatontown, NJ

Q: What is Kenneth Belitsis's NPI number?

The NPI number for Kenneth Belitsis is 1427157155. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Kenneth Belitsis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Belitsis was last updated on July 29, 2010. 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.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

97.45/100

CMS Quality Rating

142 STATE ROUTE 35 S, EATONTOWN, NJ 07724(732) 389-5004(732) 389-1850 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kenneth Belitsis M.d. NPPES

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

DR. KENNETH BELITSIS M.D. (NPI 1427157155) is an individual gastroenterology provider in Eatontown, New Jersey, licensed in New Jersey (MA67435) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1427157155

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KENNETH BELITSISCredential: M.D.

Location Address142 STATE ROUTE 35 SEatontown, NJ 07724-1876

Mailing Address142 State Route 35 SEatontown, NJ 07724-1876 · (732) 389-5007 · Fax (732) 389-1850

Phone(732) 389-5004

Fax(732) 389-1850

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 29, 2010

✔ NPI 1427157155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · MA67435

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

142 STATE ROUTE 35 S, Eatontown, NJ 07724

Open in Google Maps ↗

Other Identifiers 2

Medicaid8305706NJ

Medicare UPINH34147NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Belitsis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365424488

PECOS Enrollment IDI20040603000028

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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

430 services292 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

197 services190 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

178 services177 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

171 services115 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

125 services123 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

36 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services33 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

29 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Destruction of polyp or growth of large bowel using a flexible endoscope 45388

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43236

This procedure involves a flexible tube, called an endoscope, which is passed through your mouth to examine your esophagus, stomach, and upper small bowel. A special needle is used to inject medication or other substances directly into these areas.

12 services11 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

12 services11 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

12 services12 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310075

Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County

Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310111

Location901 West Main StreetFreehold, NJ 07728 · Monmouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. NADEEM BAIG M.D.

Internal Medicine (Gastroenterology)

142 STATE ROUTE 35 S
EATONTOWN, NJ 07724

Monmouth County (732) 389-5004

SHANNON KHULUSI NP

Nurse Practitioner (Family)

142 STATE ROUTE 35 S
EATONTOWN, NJ 07724

Monmouth County (732) 389-5004

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 Kenneth Belitsis's NPI number?

The NPI number for Kenneth Belitsis is 1427157155. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Kenneth Belitsis located?

Kenneth Belitsis practices at 142 State Route 35 S, Eatontown, NJ 07724. The listed phone number is (732) 389-5004.

What is Kenneth Belitsis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Belitsis enrolled in Medicare?

Yes. Kenneth Belitsis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Belitsis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kenneth Belitsis 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.

Is Kenneth Belitsis affiliated with any hospitals?

According to CMS data, Kenneth Belitsis is affiliated with Riverview Medical Center, Community Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Belitsis was last updated on July 29, 2010. 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.