NPIMap

Individual provider Active NPI

John Carmen Beauchamp, MD

  • Internal Medicine Physician
  • Westerly, RI
National Provider Identifier
1679686117
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7063 Issued in RI
Practice address
85 Beach St
Westerly, RI 02891
Phone
(401) 596-0328
Fax
(401) 348-8629
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7063 RI Primary

Addresses

Primary practice location

85 Beach St
Westerly, RI 02891

Mailing address

85 Beach St
Westerly, RI 02891
Phone (401) 596-0328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20080722000092 RI Practitioner - Internal Medicine 9830262021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians

Practice addresses (Care Compare)

268 Post Rd
Suite 203
Westerly, RI 02891-6601
Phone (401) 604-2530

37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

Hospital & facility affiliations

  • South County Home Health Home health agency, Wakefield, RI, CCN 417023
  • Bayada Home Health Care Inc Home health agency, Providence, RI, CCN 417057
  • Yale New Haven Health - Health at Home Southeast Home health agency, Waterford, CT, CCN 077015
  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7063RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
The Westerly Hospital Past Accepting new patients
Westerly Hospital Cardiology Department Past Accepting new patients

Locations

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543

268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1679686117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-0328",
            "fax_number": "401-348-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-0328",
            "fax_number": "401-348-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "JOHN",
        "middle_name": "CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "7063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.