Timothy Beacham, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Louisville, KY
NPI 1669670360 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1669670360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 49929 (KY)
- Practice address
- 4201 Springhurst Blvd Ste 102
Louisville, KY 40241-6156 - Phone
- (502) 352-2530
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 37
Medicare Care Compare profile
- 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 Institute
Practice addresses (Care Compare)
4201 Springhurst Blvd
Suite 102
Louisville, KY 40241-6156
Phone (502) 515-6090
Hospital & facility affiliations
- Norton Hospitals, Inc
- Baptist Health Louisville
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.77 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 79.24
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.46 of 100
- Quality
- 90
- Improvement activities
- 0
- Cost
- 78.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170607002301 | KY | Practitioner - Pain Management | 0749325629 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCMH Corporation | Current |
Accepting new patients | |
| CCMH Corporation | Current |
Accepting new patients | |
| Restorative Pain Institute | Pain Medicine | Current |
Accepting new patients |
| Restorative Pain Institute | Current |
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
- timothy.beacham.1@32492.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/CHCDDD/Endpoint/CHCDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20443 | MS | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20443 | MS | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 49929 | KY | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04330519 | Medicaid | MS | |
| 302I057501 | Other | MS | MEDICARE PTAN |
| 7100473360 | Medicaid | KY | |
| 343174YXV2 | Other | MO | MEDICARE PTAN |
Other providers in Louisville, KY
- Angela M Beach
- Ariana Leigh Beach
- Cushena Beach
- Susan M. Beach
- Abbie Beacham
- Garth Mervid Beache
- Nathaniel Beachy
- Beacon House Aftercare Program
- Beacon Senior Solutions, LLC
- Emily Michelle Beaird
All providers in Louisville, KY · Pain Medicine (Anesthesiology) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.