MEDICARE: THOMAS G BELT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	1032750	IN
2	2085R0202X	Diagnostic Radiology Physician	01032750A	IN
3	2085R0204X	Vascular & Interventional Radiology Physician	01032750A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	P00024128	OTHER	RAILROAD MEDICARE PIN
3	P00024118	OTHER	RAILROAD MEDICARE PIN
4	P00024015	OTHER	RAILROAD MEDICARE PIN
5	P00024124	OTHER	RAILROAD MEDICARE PIN
6	P00024127	OTHER	RAILROAD MEDICARE PIN
7	P00024422	OTHER	RAILROAD MEDICARE PIN
8	P00023431	OTHER	RAILROAD MEDICARE PIN
9	P00023650	OTHER	RAILROAD MEDICARE PIN
10	P00024725	OTHER	RAILROAD MEDICARE PIN
11	P00376931	OTHER	RAILROAD MEDICARE PIN
13	P00023381	OTHER	RAILROAD MEDICARE PIN
14	P00023638	OTHER	RAILROAD MEDICARE PIN
15	P00024402	OTHER	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000109946	OTHER	IN	ANTHEM
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083608392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS G BELT MD

Provider Business Mailing Address
First Line	:	7340 SHADELAND STATION
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3980
Country	:	US
Telephone Number	:	317-579-2150
Fax Number	:	317-579-2130

Provider Business Practice Location Address
First Line	:	7340 SHADELAND STATION
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3980
Country	:	US
Telephone Number	:	317-579-2150
Fax Number	:	317-579-2130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	05/06/2015

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Directions to “ THOMAS G BELT MD” Practice Location

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