Individual provider Active NPI

Orlando K. Beckum, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Houston, TX
National Provider Identifier
1134149016
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
P3121 Issued in TX
Practice address
12307 Courtney Greens Rd
Houston, TX 77089-2585
Phone
(832) 362-9883
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19286 MS
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X P3121 TX Primary
Emergency Medicine Physician 207P00000X P3121 TX

Addresses

Primary practice location

12307 Courtney Greens Rd
Houston, TX 77089-2585

Mailing address

12307 Courtney Greens Rd
Houston, TX 77089-2585
Phone (832) 362-9883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131022001379 TX Practitioner - Emergency Medicine 3072512433 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Practice addresses (Care Compare)

409 Cottage Rd
Carthage, TX 75633-1466
Phone (903) 693-3841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3121TXMDEmergency Medicine Physician
19286MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Angelina Emergency Medicine Associates PA Emergency Medicine CurrentSince Dec 23, 2013 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine Past Accepting new patients

Locations

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: obeckum355415@ahs.direct-ci.com

Organizations & group practices 5

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1134149016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 COURTNEY GREENS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892585",
            "telephone_number": "832-362-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 COURTNEY GREENS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892585",
            "telephone_number": "832-362-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKUM",
        "first_name": "ORLANDO",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "19286",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "P3121",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.