CMS-1500 Box 24J / 33a • NPI
1063481737
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
1400 W MAIN ST, BLDG 1, SUITE A, BELLEVUE, OH, 44811-9429
✓ 9-Digit EDI 837 ZIP+4 (44811-9429)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063481737 (BELLEVUE PROFESSIONAL SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063481737 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BELLEVUE PROFESSIONAL SERVICES, INC. |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207V00000X (Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 1400 W MAIN ST, BLDG 1, SUITE A, BELLEVUE, OH, 44811-9429 |
| Practice Telephone / Fax | Tel: (419) 483-2494 | Fax: (419) 483-3224 |
| Administrative Mailing Address | PO BOX 638775, CINCINNATI, OH, 45263-8775 |
| Enumeration & Last Sync | Enumerated: 2006-03-15 | CMS Record Updated: 2023-10-23 |
| Authorized Official | TIM BUIT (CEO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207V00000X)
What Does Taxonomy Code 207V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BELLEVUE PROFESSIONAL SERVICES, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: OH | License: 35090068 | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: OH | License: 34012014 | Primary: Secondary |
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: OH | License: 34009034 | Primary: Secondary |
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: OH | License: 35127940 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: OH | License: 34006462 | Primary: Secondary |
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: OH | License: 35068821 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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