Active NPI
Juan a. Beltran, M.D., P.a.
- General Acute Care Hospital
- Ellicott City, MD
National Provider Identifier
1154621753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- D0016263
- Legal business name
- JUAN A. BELTRAN, M.D., P.A.
- Practice address
- 9014 Elmonte Woods Way
Ellicott City, MD 21042-1854 - Phone
- (410) 750-0325
- NPI assigned
- Oct 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan A Beltran, MD
- Title
- Medical Doctor
- Phone
- (410) 750-0352
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | D0016263 | MD | |
| General Acute Care Hospital | 282N00000X | D0016263 | MD | Primary |
Addresses
Primary practice location
9014 Elmonte Woods Way
Ellicott City, MD 21042-1854
Mailing address
9014 Elmonte Woods Way
Ellicott City, MD 21042-1854
Phone (410) 750-0325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184781300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5730 Executive Dr
Ste 124
Catonsville, MD 21228
Phone (410) 747-9356
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Baltimore, MD
- NPI 1003887894
-
- Children's Rehabilitation Hospital
- Ellicott City, MD
- NPI 1720149305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290038400000",
"number": "1154621753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9014 ELMONTE WOODS WAY",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210421854",
"telephone_number": "410-750-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9014 ELMONTE WOODS WAY",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210421854",
"telephone_number": "410-750-0325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN A. BELTRAN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-28",
"last_updated": "2010-11-18",
"status": "A",
"authorized_official_last_name": "BELTRAN",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "410-750-0352",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Other",
"state": "MD",
"license": "D0016263",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MD",
"license": "D0016263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184781300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.