Active NPI
John Andrew Beverlin, PA-C
- Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700138799 | Other | TX | TRICARE |
| 313597201 | Medicaid | TX | |
| 313597202 | Medicaid | TX | |
| 890N67 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 760555765 | Other | TX | UNITED 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Em-I Medical Services PA | Physician Assistant | Current | Accepting new patients |
| Texas Em-I Medical Services PA | Physician Assistant | Current | Accepting new patients |
| Ut Physicians | Physician Assistant | Current | Accepting new patients |
| Ut Physicians | Current | 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.
-
- Emergency Medicine Physician
- Angleton, TX
- NPI 1437334414
Physician Assistant
-
- Emergency Medicine Physician
- Galveston, TX
- NPI 1447598842
Physician Assistant
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.