Individual provider Active NPI

Kathryn J. Beckstrom, MD

  • Anesthesiology Physician
  • Columbia, SC
National Provider Identifier
1467411579
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16621 Issued in SC
Practice address
5 Richland Medical Park
Columbia, SC 29203-8000
Phone
(803) 434-2797
Fax
(803) 434-7038
NPI assigned
Mar 20, 2006
Last updated
Oct 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16621 SC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 16621 SC

Addresses

Primary practice location

5 Richland Medical Park
Columbia, SC 29203-8000

Mailing address

PO Box 60314
Charlotte, NC 28260-0314
Phone (803) 765-1838

Other identifiers 1

IdentifierTypeStateIssuer
166215MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20111110000909 SC Practitioner - Anesthesiology 9032383989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Anesthesia, LLCGroup PAC ID 6103924014, 91 clinicians

Practice addresses (Care Compare)

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Under Anesthesia Anesthesiology CurrentSince Nov 5, 2019 Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Pain Management, LLC Past Accepting new patients
Anesthesiology Consultants of Columbia, PA Anesthesiology Past Accepting new patients
Jay Godines, LLC Anesthesiology Past Accepting new patients
Carolina Anesthesiology Associates PA Anesthesiology Past Accepting new patients

Locations

106 Ellett Rd
Chapin, SC 29036
Phone (803) 941-8096

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409

420 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-4402

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1467411579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600314",
            "telephone_number": "803-765-1838",
            "fax_number": "803-765-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RICHLAND MEDICAL PARK",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038000",
            "telephone_number": "803-434-2797",
            "fax_number": "803-434-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKSTROM",
        "first_name": "KATHRYN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "16621",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "16621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166215",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.