Active NPI
Thomas E Beatrous, MD
- Radiation Oncology Physician
- Montgomery, AL
National Provider Identifier
1306853700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 19860
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051008209 | Other | AL | BCBS AL/MONT EAST |
| 009905565 | Medicaid | AL | |
| 009914315 | Medicaid | AL | |
| 000008209 | Medicaid | AL | |
| 051008345 | Other | AL | BCBS OF AL/SYLACAUGA |
| 051511893 | Other | AL | BCBS OF AL/MONT SOUTH |
| 051512851 | Other | AL | BCBS OF AL/SHELBY |
| 51107953 | Other | AL | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18167 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncologics, Inc. | Radiation Oncology | Past | Accepting new patients |
| Deland and Harwood Crowley Partnership | Radiation Oncology | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba OncoLogics, Inc.
- Radiation Oncology Physician
- Crowley, LA
- NPI 1871539767
-
- Radiation Oncology Physician
- Lafayette, LA
- NPI 1144256736
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.