Individual provider Active NPI

Todd William Beatty, MD

  • Otolaryngology Physician
  • Arvada, CO
National Provider Identifier
1619985249
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DR.0036189 Issued in CO
Practice address
6870 W 52ND Ave Ste 207
Arvada, CO 80002-3953
Phone
(303) 487-0834
Fax
(303) 487-0834
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 36189 CO
Otolaryngology Physician 207Y00000X DR.0036189 CO Primary

Addresses

Primary practice location

6870 W 52ND Ave Ste 207
Arvada, CO 80002-3953

Mailing address

3895 Upham Street
Suite 201
Wheat Ridge, CO 80033-4651
Phone (303) 487-0834

Other identifiers 1

IdentifierTypeStateIssuer
01361898MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120302000062 CO Practitioner - Otolaryngology 3274434956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36189COMDSpecialist
DR.0036189COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Otolaryngology Specialist CurrentSince Feb 1, 2002 Accepting new patients
Mile High Otolaryngology Otolaryngology CurrentSince Feb 1, 2002 Accepting new patients

Locations

6870 W 52nd Ave
Ste 207
Arvada, CO 80002
Phone (303) 487-0834

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

3895 Upham St
Ste 201
Wheat Ridge, CO 80033
Phone (303) 487-0834

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1619985249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 UPHAM STREET",
            "address_2": "SUITE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334651",
            "telephone_number": "303-487-0834",
            "fax_number": "303-487-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE STE 207",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023953",
            "telephone_number": "303-487-0834",
            "fax_number": "303-487-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "36189",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0036189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01361898",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.