Individual provider Active NPI

Antonio Reyes-Beltran, M.D.

  • Pulmonary Disease Physician
  • Lumberton, NC
National Provider Identifier
1720011570
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2019-01727 Issued in NC
Practice address
725 Oakridge Blvd Ste C1
Lumberton, NC 28358-2351
Phone
(910) 738-9414
Fax
(910) 738-1012
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 057995 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 057995 GA
Pulmonary Disease Physician 207RP1001X 2019-01727 NC Primary

Addresses

Primary practice location

725 Oakridge Blvd Ste C1
Lumberton, NC 28358-2351

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other identifiers 1

IdentifierTypeStateIssuer
291798742AMedicaidGA

Other names 1

  • Antionio Reyes-Beltran Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address areyesbeltran845492@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060726000338 GA Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8123016441 Reassigns benefits to 2 organizations
I20190904003125 NC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8123016441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

725 Oakridge Blvd
Suite C1
Lumberton, NC 28358-2351
Phone (910) 671-0052

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8373PRMDClinical Psychologist
2019-01727NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Jun 1, 2022 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Pulmonary & Sleep Medicine Associates, LLP CurrentSince Sep 16, 2016 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 11, 2019 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 11, 2019 Accepting new patients

Locations

6572 River Park Dr
Ste 101
Riverdale, GA 30274
Phone (678) 626-1833

915 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (770) 506-4350

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

725 Oakridge Blvd
Ste C1
Lumberton, NC 28358
Phone (910) 738-9414

4760 Independence Dr
Lumberton, NC 28358
Phone (910) 738-1038

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

4384 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 738-1141

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Interoperability endpoints

  • Direct secure messaging: areyes-beltran@psma.gwaydirect.com
  • Direct secure messaging: antonia.reyesbeltran@mhs.gadirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1720011570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 OAKRIDGE BLVD STE C1",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582351",
            "telephone_number": "910-738-9414",
            "fax_number": "910-738-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-BELTRAN",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "057995",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "057995",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2019-01727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291798742A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "areyesbeltran845492@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "725 Oakridge Blvd Ste C1",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANTIONIO",
            "last_name": "REYES-BELTRAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.