Individual provider Active NPI

Frederick C Beckett III, MD

  • Internal Medicine Physician
  • Treasure Island, FL
National Provider Identifier
1003081936
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME163947 Issued in FL
Practice address
500 Treasure Island Cswy Apt 202
Treasure Island, FL 33706-1140
Phone
(813) 466-4952
NPI assigned
Apr 22, 2008
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME163947 FL Primary

Addresses

Primary practice location

500 Treasure Island Cswy Apt 202
Treasure Island, FL 33706-1140

Mailing address

500 Treasure Island Cswy Apt 202
Treasure Island, FL 33706-1140
Phone (813) 466-4952

Other identifiers 1

IdentifierTypeStateIssuer
03733617MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100121000689 FL Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2769542927 Reassigns benefits to 2 organizations
I20131022001138 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2769542927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Hahnemann University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anywhere Wound Care LLCGroup PAC ID 8729519525, 2 clinicians

Practice addresses (Care Compare)

4030 Land O Lakes Blvd
Land O Lakes, FL 34639-4422
Phone (813) 345-4100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME163947FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Ny, PLLC CurrentSince Jul 10, 2017 Accepting new patients
Anywhere Wound Care LLC CurrentSince Aug 3, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince May 12, 2024 Accepting new patients
Plant City Wellness Center LLC Past Accepting new patients
Axis Medical PLLC Internal Medicine Past Accepting new patients
Bay Sound Inpatient Services LLC Past Accepting new patients

Locations

4030 Land O Lakes Blvd
Land O Lakes, FL 34639
Phone (813) 345-4100

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

50 Main St
White Plains, NY 10606
Phone (914) 682-2137

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1003081936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TREASURE ISLAND CSWY APT 202",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337061140",
            "telephone_number": "813-466-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TREASURE ISLAND CSWY APT 202",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337061140",
            "telephone_number": "813-466-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "FREDERICK",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03733617",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Treasure Island, FL

Sources for this page

Verify at the official NPI Registry.