Active NPI
Eduardo J. Colom Beauchamp, M.D.
- Orthopaedic Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 287773
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (212) 305-5974
- NPI assigned
- Aug 16, 2010
- Last updated
- Sep 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 287773 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 287773 | NY | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 59106 | MN |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
622 W 168TH St PH 11
New York, NY 10032-3720
Other practice location 1
200 University Ave E
Saint Paul, MN 55101-2507
Phone (651) 229-3990
Other practice location 2
200 University Ave E
Saint Paul, MN 55101-2507
Phone (651) 229-3990
Other practice location 3
200 University Ave E
Saint Paul, MN 55101
Phone (651) 229-3990
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecolombeauchamp291459@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Puerto Rico School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 42 |
| Laminectomy or laminotomy (partial removal of spine bones) | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287773 | NY | MD | Orthopaedic Surgery Physician |
| 59106 | MN | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Health Care | Current | Accepting new patients | |
| Allina Health System | Orthopaedic Surgery | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Orthopaedic Surgery | Current | Accepting new patients |
| The Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| NPI 1598824880 | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
913 E 26th St
Ste 600
Minneapolis, MN 55404
Phone (612) 775-6257
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
200 University Ave E
Rm 10609
Saint Paul, MN 55101
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
3959 Broadway
Fl 8
New York, NY 10032
Phone (212) 305-1125
5141 Broadway
New York, NY 10034
Phone (212) 932-4000
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
Ph 11
New York, NY 10032
Phone (212) 305-4626
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ecolombeauchamp291459@excellian.direct.allina.com
- edb9038@direct.nyp.org
- eduardo.beauchamp.p1@direct.tcspine.nextgenshare.com
- eduardo.beauchamp.p2@direct.tcspine.nextgenshare.com
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Orthopaedic Surgery
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
Orthopaedic Surgery
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health Cottage Grove Clinic
- Family Medicine Physician
- Cottage Grove, MN
- NPI 1568768919
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Radiology Clinic/Center
- Minneapolis, MN
- NPI 1093994030
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
dba Columbia Orthopedics
- Orthopedic Physical Therapist
- New York, NY
- NPI 1417347816
-
- Specialist
- New York, NY
- NPI 1801074315
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1093020950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST PH 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-5974"
}
],
"practiceLocations": [
{
"address_1": "200 University Ave E",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012507",
"country_code": "US",
"telephone_number": "651-229-3990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 University Ave E",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012507",
"country_code": "US",
"telephone_number": "651-229-3990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 University Ave E",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "55101",
"country_code": "US",
"telephone_number": "651-229-3990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLOM BEAUCHAMP",
"first_name": "EDUARDO",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-16",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "287773",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "287773",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MN",
"license": "59106",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecolombeauchamp291459@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "913 E 26th St Ste 600",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554044515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.