Individual provider Active NPI

Justin Beitel, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1154874212
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
TRN23654 Issued in FL
Practice address
4605 E Elwood St Ste 500
Phoenix, AZ 85040-1978
Phone
(407) 985-9389
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23654 FL
Anesthesiology Physician 207L00000X TRN23654 FL Primary

Addresses

Primary practice location

4605 E Elwood St Ste 500
Phoenix, AZ 85040-1978

Mailing address

4605 E Elwood St Ste 500
Phoenix, AZ 85040-1978
Phone (407) 985-9389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200804000413 AZ Practitioner - Anesthesiology 5092002782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pca AnesthesiaGroup PAC ID 1658675558, 54 clinicians

Practice addresses (Care Compare)

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone (602) 234-1803

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23654FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pca Anesthesia Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Metro Anesthesia Consultants P C Anesthesiology Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

7330 N 16th St
Ste A200
Phoenix, AZ 85020
Phone (602) 200-9021

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

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 4

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154874212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 E ELWOOD ST STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850401978",
            "telephone_number": "407-985-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 E ELWOOD ST STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850401978",
            "telephone_number": "407-985-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITEL",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "23654",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "TRN23654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.