JACK E BELEN (DO) – Pulmonary Disease Physician, NPI 1093792053
Pulmonary Disease Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for JACK E BELEN (DO)
Huron Valley-Sinai Hospital, 1, William Carls Drive, Commerce, Commerce Township, Oakland County, Michigan, 48382, United States
COMMERCE TOWNSHIP, MI 483822201
Phone: (248) 937-3395
Fax: (248) 360-4712
Type: Location
39000 7 Mile Rd Ste 4200
Livonia, MI 481521006
Phone: (947) 523-4410
Fax: (734) 542-3360
Type: Location
1 William Carls Dr
Commerce Township, MI 483822201
Phone: (248) 937-3395
Fax: (248) 360-4712
Type: Location
Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480333849
Phone: (947) 522-1862
Fax: (947) 522-0307
Type: Mailing
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 483365966
Phone: (947) 521-8968
Fax: (248) 471-8061
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050922001085 | I | Pulmonary Disease | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 73 | 72 | $0 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 69 | 68 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 46 | 46 | $0 |
Insurance plans in this area (ZIP 48382)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | MI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 72 | 71 |
| PULMONARY DISEASE | MI | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 52 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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