Individual provider Active NPI

Jonas Alexander Beyene, M.D.

  • Psychiatry Physician
  • Hurst, TX
National Provider Identifier
1770015968
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R8866 Issued in TX
Practice address
669 Airport Fwy Ste 401
Hurst, TX 76053-3964
Phone
(972) 332-5922
NPI assigned
Mar 28, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R8866 TX
Psychiatry Physician 2084P0800X R8866 TX Primary

Addresses

Primary practice location

669 Airport Fwy Ste 401
Hurst, TX 76053-3964

Mailing address

669 Airport Fwy Ste 401
Hurst, TX 76053-3964
Phone (972) 332-5922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8866TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeridge Psychiatry PLLC Psychiatry Current Accepting new patients
Emergent Testing LLC Emergency Medicine PastSince Dec 1, 2020 Accepting new patients

Locations

669 Airport Fwy
Ste 401
Hurst, TX 76053
Phone (817) 763-5665

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1770015968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 AIRPORT FWY STE 401",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533964",
            "telephone_number": "972-332-5922",
            "fax_number": "972-692-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 AIRPORT FWY STE 401",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533964",
            "telephone_number": "972-332-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYENE",
        "first_name": "JONAS",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R8866",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R8866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.