Individual provider Active NPI

Matthew J Beecroft, MD

  • Emergency Medicine Physician
  • Renton, WA
National Provider Identifier
1487825782
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125050444 Issued in IL
Practice address
1300 SW 27TH St
Renton, WA 98057-2435
Phone
(206) 630-4303
NPI assigned
Mar 14, 2008
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60011504 WA
Emergency Medicine Physician 207P00000X 125050444 IL Primary

Addresses

Primary practice location

1300 SW 27TH St
Renton, WA 98057-2435

Mailing address

1300 SW 27TH St
Renton, WA 98057-2435
Phone (206) 630-4303

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080708000452 WA Practitioner - Emergency Medicine 4587736541 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Emergency Services PSGroup PAC ID 4981694155, 48 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

275 Bronson Way NE
Renton, WA 98056-4030
Phone (425) 235-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125050444ILMDEmergency Medicine Physician
MD60011504WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince May 9, 2010 Accepting new patients
The Association of University Physicians CurrentSince Dec 13, 2009 Accepting new patients
Harborview Medical Center CurrentSince Oct 15, 2010 Accepting new patients
North Sound Emergency Medicine PC Emergency Medicine CurrentSince Aug 1, 2008 Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 3, 2017 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 3, 2017 Accepting new patients
University of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 22, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
University of Washington CurrentSince May 9, 2010 Accepting new patients
Harborview Medical Center CurrentSince Oct 15, 2010 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 22, 2021 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

275 Bronson Way NE
Renton, WA 98056
Phone (425) 235-2800

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1487825782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SW 27TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572435",
            "telephone_number": "206-630-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SW 27TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572435",
            "telephone_number": "206-630-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECROFT",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60011504",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125050444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1300 SW 27th St",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.