Tommie T Begay, MD
Individual provider Active NPI Pediatrics Physician · Shiprock, NM
NPI 1124480942 · NPPES record last updated Sep 26, 2019
Key facts
- NPI
- 1124480942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD2019-0298 (NM)
- Practice address
- Hwy 491 North
Shiprock, NM 87420 - Phone
- (505) 368-6001
- Fax
- (505) 368-7011
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190923002358 | TX | Practitioner - Pediatric Medicine | 1153614565 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current |
Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2019-0298 | NM | Yes |
Addresses
Primary practice location
Hwy 491 North
Shiprock, NM 87420
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001
Other providers in Shiprock, NM
- Edgar Allan Bautista
- Amber Rochelle Beardslee
- Dan Y Begay
- Ernest Harry Begay
- Tanisha Kayla Begay
- Winifred Belinda Begodi
- Sandra Beirne
- Cherilynn Lea Benally
- Ethelinda W Benally
- Lucrecia Benally
All providers in Shiprock, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.