Individual provider Active NPI

Beena M. Trivedi, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1457353500
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2608 Issued in TX
Practice address
2919 Markum Drive
Fort Worth, TX 76117-4004
Phone
(817) 831-0321
Fax
(817) 831-3211
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2608 TX Primary

Addresses

Primary practice location

2919 Markum Drive
Fort Worth, TX 76117-4004

Mailing address

2919 Markum Drive
Fort Worth, TX 76117-4004
Phone (817) 831-0321

Other identifiers 1

IdentifierTypeStateIssuer
042901101MedicaidTX

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
I20101029000931 TX Practitioner - Family Practice 1557555968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
T and R Clinic a Professional AssociationGroup PAC ID 8325036320, 3 clinicians

Practice addresses (Care Compare)

2919 Markum Dr
Fort Worth, TX 76117-4004
Phone (817) 832-0321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T & R Clinic a Professional Association Family Medicine CurrentSince May 9, 2010 Accepting new patients

Locations

2919 Markum Dr
Haltom City, TX 76117
Phone (817) 831-0321

Organizations & group practices 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1457353500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761174004",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761174004",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "BEENA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042901101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.