Individual provider Active NPI

Timothy D Beckett, MD

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1477521193
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10395 Issued in NV
Practice address
10120 S Eastern Ave
#200
Henderson, NV 89052
Phone
(702) 222-3238
Fax
(702) 221-2231
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 C138537 CA
Anesthesiology Physician 207L00000X 10395 NV Primary

Addresses

Primary practice location

10120 S Eastern Ave
#200
Henderson, NV 89052

Mailing address

10120 S Eastern Ave
#200
Henderson NV, NV 89052
Phone (702) 222-3238

Other identifiers 1

IdentifierTypeStateIssuer
100500198MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, WA, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040628000187 NV Practitioner - Anesthesiology 9133105497 Reassigns benefits to 1 organization
I20231207000907 CA Practitioner - Anesthesiology 9133105497 Reassigns benefits to 1 organization
I20240607000418 WA Practitioner - Anesthesiology 9133105497 Reassigns benefits to 1 organization
I20260514003693 OK Practitioner - Anesthesiology 9133105497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians
Valley Anesthesiology Consultants-Beckett-PLLCGroup PAC ID 6507925849, 42 clinicians

Practice addresses (Care Compare)

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000

2565 E Flamingo Rd
Las Vegas, NV 89121-5203
Phone (702) 697-7900

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C138537CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince May 7, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Anesthesia Development Partners LLC CurrentSince Jan 8, 2023 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Apr 30, 2003 Accepting new patients
Henderson Anesthesia LLC Anesthesiology Past Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD Anesthesiology PastSince Nov 18, 2009 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients
Healing Path Hospice Care Inc PastSince Apr 14, 2023 Accepting new patients

Locations (25 of 37)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

2100 Idaho St
Elko, NV 89801
Phone (775) 235-2368

1110 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 564-1344

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

876 Seven Hills Dr
Henderson, NV 89052
Phone (702) 750-1038

2779 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 386-0909

10120 S Eastern Ave
Ste 200
Henderson, NV 89052
Phone (702) 487-6880

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

10120 S Eastern Ave
Ste 130
Henderson, NV 89052
Phone (702) 487-6880

8840 W Sunset Rd
#B
Las Vegas, NV 89148
Phone (702) 209-3377

5915 S Rainbow Blvd
Ste 108
Las Vegas, NV 89118
Phone (702) 227-7659

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

10135 W Twain Ave
Las Vegas, NV 89147
Phone (702) 832-5959

7135 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 222-9355

870 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 870-2090

7250 Cathedral Rock Dr
Las Vegas, NV 89128
Phone (702) 304-3985

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

2800 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 838-7755

8530 W Sunset Rd
Las Vegas, NV 89113
Phone (702) 483-4484

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

Interoperability endpoints

  • Direct secure messaging: timothy.beckett.p2@direct.elkochc.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Unified Care HospiceLas Vegas, NV, CCN 291624 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 14, 2023
Unified Care Hospice of TexasDallas, TX, CCN A91788 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
Mar 19, 2025
Mar 19, 2025

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 11

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 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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1477521193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE",
            "address_2": "#200",
            "city": "HENDERSON NV",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-222-3238",
            "fax_number": "702-221-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE",
            "address_2": "#200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-222-3238",
            "fax_number": "702-221-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C138537",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "10395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500198",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.