NPIMap

Individual provider Active NPI

Timothy Beacham, MD

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
National Provider Identifier
1669670360
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
49929 Issued in KY
Practice address
4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156
Phone
(502) 352-2530
NPI assigned
Jul 5, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20443 MS
Pain Medicine (Anesthesiology) Physician 207LP2900X 20443 MS
Pain Medicine (Anesthesiology) Physician 207LP2900X 49929 KY Primary
Interventional Pain Medicine Physician 208VP0014X 20443 MS

Addresses

Primary practice location

4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156

Mailing address

4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156
Phone (502) 515-4902

Other practice location 1

309 11th St
Carrollton, KY 41008-1435
Phone (502) 732-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002301 KY Practitioner - Pain Management 0749325629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Mississippi School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Restorative Pain InstituteGroup PAC ID 7113373176, 4 clinicians

Practice addresses (Care Compare)

4201 Springhurst Blvd
Suite 102
Louisville, KY 40241-6156
Phone (502) 515-6090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.24

Merit-based Incentive Payment System (MIPS)

Final score
59.46 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
78.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Pain Institute CurrentSince Jul 25, 2023 Accepting new patients
CCMH Corporation CurrentSince Dec 15, 2025 Accepting new patients
CCMH Corporation CurrentSince Dec 15, 2025 Accepting new patients
Restorative Pain Institute Pain Medicine CurrentSince Sep 8, 2023 Accepting new patients
Restorative Pain Institute Past Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

7145 E Virginia St
Ste 2000
Evansville, IN 47715
Phone (812) 476-6161

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

4201 Springhurst Blvd
Ste 102
Louisville, KY 40241
Phone (502) 515-6090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCDDD/Endpoint/CHCDDD
  • Direct secure messaging: timothy.beacham.1@32492.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1669670360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416156",
            "telephone_number": "502-515-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416156",
            "telephone_number": "502-352-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 11th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081435",
            "country_code": "US",
            "telephone_number": "502-732-3204",
            "fax_number": "502-732-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACHAM",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "20443",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "20443",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "49929",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "20443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.