Individual provider Active NPI

John C Beatrous, M.D.

  • Otolaryngology Physician
  • Covington, LA
National Provider Identifier
1063472264
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
015760 Issued in LA
Practice address
350 Lakeview CT
Suite a
Covington, LA 70433-7514
Phone
(985) 845-2677
Fax
(985) 867-5498
NPI assigned
Mar 23, 2006
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 015760 LA Primary

Addresses

Primary practice location

350 Lakeview CT
Suite a
Covington, LA 70433-7514

Mailing address

350 Lakeview CT
Suite a
Covington, LA 70433-7514
Phone (985) 845-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000278 LA Practitioner - Otolaryngology 5193759652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Surgical Specialists, L.L.C.Group PAC ID 2365534328, 4 clinicians

Practice addresses (Care Compare)

350 Lakeview CT
Suite a
Covington, LA 70433-7524
Phone (985) 845-2677

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy L. Chauvin, M.D. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1063472264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LAKEVIEW CT",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337514",
            "telephone_number": "985-845-2677",
            "fax_number": "985-867-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LAKEVIEW CT",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337514",
            "telephone_number": "985-845-2677",
            "fax_number": "985-867-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATROUS",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "015760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.