DR. SANTOSH BELBASE M.D.
NPI 1558768945
Internal Medicine in Providence, RI

Active since December 01, 2014PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4489(401) 793-4047 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2025, Jul 21, 2022, Jul 21, 2017 (3 updates tracked since 2017).

About Dr. Santosh Belbase M.d. NPPES

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

DR. SANTOSH BELBASE M.D. (NPI 1558768945) is an individual internal medicine provider in Providence, Rhode Island, licensed in North Carolina (2023-03531) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558768945
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANTOSH BELBASECredential: M.D.
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 793-4047
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 1, 2014
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1558768945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2023-03531✔ Licensed in RI · MD15765
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.
164 SUMMIT AVE, Providence, RI 02906

Secondary Practice Locations 3

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5680
Location 2501 S Poplar StElizabethtown, NC 28337-9375 · Phone (910) 862-5100
Location 3210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Santosh Belbase 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 ID8123391299
PECOS Enrollment IDI20240214001360
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Santosh Belbase reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
803 TILGHMAN DR STE 200
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
Rural Health
273 WHITE LAKE DR
Elizabethtown, NC 28337
  • Reassigned Medicare billing, North Carolina enrollment
  • 170 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.

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.
434 services150 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services73 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
60 services17 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.
42 services42 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.
28 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906

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 Santosh Belbase's NPI number?

The NPI number for Santosh Belbase is 1558768945. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Santosh Belbase located?

Santosh Belbase practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4489.

What is Santosh Belbase's specialty?

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

Is Santosh Belbase enrolled in Medicare?

Yes. Santosh Belbase 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.

Which organizations bill Medicare for Santosh Belbase's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santosh Belbase reassigns Medicare benefits to 2 organizations: Cumberland County Hospital System Inc (Dunn, NC) and Bladen Healthcare LLC (Elizabethtown, NC). Each 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 Santosh Belbase's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santosh Belbase accept?

Health plans from Cigna Healthcare list Santosh Belbase 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 Santosh Belbase affiliated with any hospitals?

According to CMS data, Santosh Belbase is affiliated with Cape Fear Valley Medical Center and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for Santosh Belbase was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.