Individual provider Active NPI

Timothy C. Beaty, M.D., M.SC.

  • Pediatric Pulmonology Physician
  • New Orleans, LA
National Provider Identifier
1477796258
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
310171 Issued in LA
Practice address
1315 Jefferson Hwy
New Orleans, LA 70121
Phone
(504) 842-3900
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 71666 GA
Pediatric Pulmonology Physician 2080P0214X 310171 LA Primary

Addresses

Primary practice location

1315 Jefferson Hwy
New Orleans, LA 70121

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
003145693AMedicaidGA
1913642MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180926000170 LA Practitioner - Pulmonary Disease 6709150139 Reassigns benefits to 1 organization
I20201105002532 HI Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 6709150139 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71666GAMDPediatrics Physician
310171LAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Oct 5, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 8, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 8, 2018 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Nov 15, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Pacific Pediatric Pulmonology LLC Pediatric Pulmonology Current Accepting new patients
Kapiolani Medical Center Past Accepting new patients

Locations

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

1401 S Beretania St
Ste 950
Honolulu, HI 96814
Phone (808) 373-7555

1401 S Beretania St
Ste 850
Honolulu, HI 96814
Phone (808) 983-6206

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

1514 Jefferson Hwy
New Orleans, LA 70121

1315 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-5200

Interoperability endpoints

  • Direct secure messaging: tbeaty604235@direct.ochsner.org

Organizations & group practices 8

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1477796258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "credential": "M.D., M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "71666",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "LA",
            "license": "310171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003145693A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1913642",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.