Timothy Beittel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9900167 Issued in NC

Practice address

311-4E Judges Rd
Wilmington, NC 28405

Phone

(910) 791-6767

Fax

(910) 791-6890

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.beittel.1@6900.direct.athenahealth.com
• Direct secure messaging: tbeittel116704@firsthealth.direct-ci.net

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 2

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

• Firsthealth of the Carolinas, Inc.

  • Community Based Hospice Care Agency
  • West End, NC
  • NPI 1447278791

  Contracted Managing Employee

  CMS ownership
• Firsthealth of the Carolinas, Inc.

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081

  Contracted Managing Employee

  CMS ownership

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.

• Firsthealth of the Carolinas, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • West End, NC
  • NPI 1396020202

  NC

  Medicare reassignment NPD
• MCPC-24, LLC

  • Internal Medicine Physician
  • Pinehurst, NC
  • NPI 1922734375

  NC

  Medicare reassignment NPD
• Wellcare Services, PLLC

  • Nurse Practitioner
  • Fayetteville, NC
  • NPI 1740627835

  NC

  Medicare reassignment NPD
• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486

  NC

  Medicare reassignment
• FHPG, LLC

  • Family Medicine Physician
  • Ellerbe, NC
  • NPI 1336154129

  Family Medicine

  NPD
• FHPG, LLC

  • Specialist
  • Pinehurst, NC
  • NPI 1770512865
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035

  Family Medicine

  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD
• Act Medical Group PA

  • Specialist
  • Wilmington, NC
  • NPI 1245219799
  NPD (past)
• Act Medical Group, PA

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1598982860

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1669464111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311-4E JUDGES ROAD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053655",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311-4E JUDGES RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITTEL",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "61741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3211330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "12033",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7912033",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1915849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral Healthcare Services, Inc.
• Behavioral Healthcare Services, Inc.
• Isabella Behee
• Casey Anne Behre, AU.D.
• Being in Process, PLLC
• James Jonathan Belch, MS CCC A
• Krista Danielle Belcher, MS CCC-SLP
• Kyndell Belcher, AUD
• Whitney Leigh Belisle, DDS
• Nicole Belko, MD

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.