Individual provider Active NPI

Thomas P Beveridge, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Plano, TX
National Provider Identifier
1396712840
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
K0640 Issued in TX
Practice address
1820 Preston Park Blvd
# 1450
Plano, TX 75093-3656
Phone
(469) 800-4540
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X K0640 TX Primary

Addresses

Primary practice location

1820 Preston Park Blvd
# 1450
Plano, TX 75093-3656

Mailing address

1820 Preston Park Blvd
# 1450
Plano, TX 75093-3656
Phone (469) 800-4540

Other identifiers 1

IdentifierTypeStateIssuer
104734201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbeveridge226371@direct.sw.org

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
I20080107000278 TX Practitioner - Cardiac Electrophysiology 3779663554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3691
Phone (972) 964-0363

3333 Colorado Blvd
Denton, TX 76210-6817
Phone (940) 381-2199

4001 Worth St
Dallas, TX 75246-1608

4700 Alliance Blvd
Plano, TX 75093-5323

5236 W University
4900 The Heart Group
McKinney, TX 75071-8185
Phone (469) 800-5350

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

7217 Telecom Pkwy
Garland, TX 75044-2203

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0640TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 1, 2015 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Nov 1, 2015 Accepting new patients
Heartplace, PLLC Clinical Cardiac Electrophysiology Past Accepting new patients

Locations

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3600 Gaston Ave
Ste 1157A
Dallas, TX 75246
Phone (214) 841-3800

5026 Pool Rd
Denison, TX 75020
Phone (903) 465-3624

3333 Colorado Blvd
Denton, TX 76210
Phone (940) 381-2199

5236 W University Dr
Ste 4600
McKinney, TX 75071
Phone (469) 800-9260

5236 W University Dr
Ste 4900
McKinney, TX 75071
Phone (469) 800-5350

1820 Preston Park Blvd
Ste 1450
Plano, TX 75093
Phone (469) 800-4540

4708 Alliance Blvd
Ste 50
Plano, TX 75093
Phone (972) 941-3100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Jun 1, 2007
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Jun 1, 2007
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1396712840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "# 1450",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "469-800-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "# 1450",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "469-800-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERIDGE",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "K0640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104734201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbeveridge226371@direct.sw.org",
            "affiliation": "N",
            "address_1": "1820 Preston Park Blvd",
            "address_2": "# 1450",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750933656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.