NPIMap

Individual provider Active NPI

Thaddeus Beeker, MD

  • Hematology & Oncology Physician
  • Mobile, AL
National Provider Identifier
1780637579
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
00018890 Issued in AL
Practice address
1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416
Phone
(251) 435-1200
NPI assigned
May 19, 2006
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 00018890 AL Primary

Addresses

Primary practice location

1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416

Mailing address

1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416
Phone (251) 435-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040113000432 AL Practitioner - Medical OncologyPractitioner - Internal Medicine 7214837327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1416

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

5 Mobile Infirmary Cir
Suite G805
Mobile, AL 36607-3513
Phone (251) 435-6590

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018890ALMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Mitchell Cancer Institute CurrentSince Jan 1, 2017 Accepting new patients
Sacred Heart Health System, Inc. Hematology & Oncology Current Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jan 2, 2018 Accepting new patients
University of South Alabama CurrentSince Jan 1, 2017 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jan 2, 2018 Accepting new patients
University of South Alabama Current Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1780637579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041416",
            "telephone_number": "251-435-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041416",
            "telephone_number": "251-435-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEKER",
        "first_name": "THADDEUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "00018890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.