NPIMap

Individual provider Active NPI

Thevenin Carl Henry Beauzile, M.D.

  • Internal Medicine Physician
  • Holyoke, MA
National Provider Identifier
1093047524
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
243330 Issued in MA
Practice address
230 Maple St
Holyoke, MA 01040-5144
Phone
(413) 420-2200
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 243330 MA Primary

Addresses

Primary practice location

230 Maple St
Holyoke, MA 01040-5144

Mailing address

230 Maple St
Holyoke, MA 01040-5144
Phone (413) 420-2113

Other identifiers 1

IdentifierTypeStateIssuer
110027773BMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001296 MA Practitioner - Internal Medicine 0244423028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Health Center Inc.Group PAC ID 8527969302, 40 clinicians

Practice addresses (Care Compare)

505 Front St
Chicopee, MA 01013-3140
Phone (413) 420-2222

Hospital & facility affiliations

  • Holyoke Visiting Nurse Assoc Home health agency, Holyoke, MA, CCN 227015
  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243330MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicopee Health Center Pharmacy CurrentSince Jul 1, 2010 Accepting new patients
Holyoke Health Center Inc. Current Accepting new patients
Holyoke Health Center Inc. CurrentSince Jul 1, 2010 Accepting new patients

Locations

505 Front St
Chicopee, MA 01013
Phone (413) 420-2222

230 Maple St
Holyoke, MA 01040
Phone (413) 322-7380

Interoperability endpoints

  • Direct secure messaging: tbeauzile18575@direct.ctc.masshiway.net

Organizations & group practices 3

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 7

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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1093047524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405144",
            "telephone_number": "413-420-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405144",
            "telephone_number": "413-420-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUZILE",
        "first_name": "THEVENIN",
        "middle_name": "CARL HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "243330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027773B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.