Individual provider Active NPI

Monica J Beamer, MD

  • Pediatrics Physician
  • Carrollton, TX
National Provider Identifier
1497785554
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J6358 Issued in TX
Practice address
4443 N Josey LN Ste 150
Carrollton, TX 75010-4680
Phone
(972) 820-7595
Fax
(972) 820-7549
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J6358 TX Primary

Addresses

Primary practice location

4443 N Josey LN Ste 150
Carrollton, TX 75010-4680

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1860

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbeamer93479@CookChildrens.direct-ci.com

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
I20050823001078 TX Practitioner - Pediatric Medicine 0446281042 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network Pediatrics CurrentSince Sep 30, 2018 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Sep 30, 2018 Accepting new patients
Cook Children'S Medical Center Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Pediatrics Past Accepting new patients

Locations

4443 N Josey Ln
Ste 150
Carrollton, TX 75010
Phone (682) 885-4000

4443 N Josey Ln
Ste 160
Carrollton, TX 75010
Phone (972) 492-4242

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: mbeamer93479@cookchildrens.direct-ci.com

Organizations & group practices 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1497785554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 N JOSEY LN STE 150",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104680",
            "telephone_number": "972-820-7595",
            "fax_number": "972-820-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMER",
        "first_name": "MONICA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbeamer93479@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "4443 N Josey Ln Ste 150",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750104680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.