Individual provider Active NPI

Michael Christopher Beaucaire, M.D.

  • Vascular & Interventional Radiology Physician
  • Memphis, TN
National Provider Identifier
1013329044
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
00061535 Issued in TN
Practice address
6401 Poplar Ave Ste 220
Memphis, TN 38119-4884
Phone
(016) 852-6969
NPI assigned
May 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 00061535 TN Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 220
Memphis, TN 38119-4884

Mailing address

6401 Poplar Ave Ste 220
Memphis, TN 38119-4884
Phone (901) 237-7698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20200728003900 TN Practitioner - Interventional Radiology 6800012220 Reassigns benefits to 1 organization
I20201001000153 MS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6800012220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Radiological PCGroup PAC ID 1557333226, 50 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7600

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00061535TNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Radiological, P.C. Vascular & Interventional Radiology CurrentSince Jul 1, 2020 Accepting new patients
Memphis Radiological, P.C. CurrentSince Jul 1, 2020 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7400 Airways Blvd
Southaven, MS 38671
Phone (662) 536-1000

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

Interoperability endpoints

  • Direct secure messaging: mbeaucaire30101@mlh.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1013329044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194884",
            "telephone_number": "901-237-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194884",
            "telephone_number": "016-852-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCAIRE",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-26",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "00061535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.