Individual provider Active NPI

Thomas E Beatrous, MD

  • Radiation Oncology Physician
  • Montgomery, AL
National Provider Identifier
1306853700
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
19860 Issued in AL
Practice address
300 Saint Lukes Dr
Montgomery, AL 36117-7102
Phone
(334) 273-8877
Fax
(334) 273-9733
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 19860 AL Primary

Addresses

Primary practice location

300 Saint Lukes Dr
Montgomery, AL 36117-7102

Mailing address

1400 Afflink PL Ste 100
Tuscaloosa, AL 35406-2289
Phone (205) 366-9740

Other identifiers 8

IdentifierTypeStateIssuer
051008209OtherALBCBS AL/MONT EAST
009905565MedicaidAL
009914315MedicaidAL
000008209MedicaidAL
051008345OtherALBCBS OF AL/SYLACAUGA
051511893OtherALBCBS OF AL/MONT SOUTH
051512851OtherALBCBS OF AL/SHELBY
51107953OtherALBCBS OF AL/ANNISTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18167LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oncologics, Inc. Radiation Oncology Past Accepting new patients
Deland and Harwood Crowley Partnership Radiation Oncology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.beatrous@direct.baptistfirst.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1306853700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AFFLINK PL STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062289",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177102",
            "telephone_number": "334-273-8877",
            "fax_number": "334-273-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATROUS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "19860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL/MONT EAST",
            "identifier": "051008209",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009905565",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009914315",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008209",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL/SYLACAUGA",
            "identifier": "051008345",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL/MONT SOUTH",
            "identifier": "051511893",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL/SHELBY",
            "identifier": "051512851",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL/ANNISTON",
            "identifier": "51107953",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.