Individual provider Active NPI

John Andrew Beverlin, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1700138799
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08033 Issued in TX
Practice address
211 Highland Cross Dr Ste 275
Houston, TX 77073-1741
Phone
(281) 784-3203
NPI assigned
Oct 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA08033 TX Primary

Addresses

Primary practice location

211 Highland Cross Dr Ste 275
Houston, TX 77073-1741

Mailing address

2138 Fenwood St
Kemah, TX 77565-2116
Phone (713) 922-4482

Other identifiers 5

IdentifierTypeStateIssuer
1700138799OtherTXTRICARE
313597201MedicaidTX
313597202MedicaidTX
890N67OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
760555765OtherTXUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000028 TX Practitioner - Physician Assistant 8426201013 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services PA Physician Assistant CurrentSince Jan 10, 2022 Accepting new patients
Texas Em-I Medical Services PA Physician Assistant CurrentSince Jan 10, 2022 Accepting new patients
Ut Physicians Physician Assistant CurrentSince Jul 20, 2020 Accepting new patients
Ut Physicians CurrentSince Jul 20, 2020 Accepting new patients
Singleton Associates PA Physician Assistant Past Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 5

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1700138799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 FENWOOD ST",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775652116",
            "telephone_number": "713-922-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR STE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731741",
            "telephone_number": "281-784-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLIN",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1700138799",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313597201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313597202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "890N67",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "760555765",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.