Individual provider Active NPI

Steven D Beathard, MD

  • Nephrology Physician
  • Plano, TX
National Provider Identifier
1811930860
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J3983 Issued in TX
Practice address
4401 Tradition TRL
Plano, TX 75093-5633
Phone
(214) 358-2300
Fax
(214) 579-6601
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J3983 TX Primary

Addresses

Primary practice location

4401 Tradition TRL
Plano, TX 75093-5633

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other practice location 1

3604 Live Oak St Ste 300
Dallas, TX 75204-6114
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
J3983OtherTXMEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000200 TX Practitioner - NephrologyPractitioner - Internal Medicine 1658277561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

3604 Live Oak St
Suite 300
Dallas, TX 75204-6114
Phone (214) 358-2300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Nov 22, 2016 Accepting new patients
Austin Nephrology Associates, PA Nephrology Past Accepting new patients

Locations

3604 Live Oak St
Ste 300
Dallas, TX 75204
Phone (214) 826-4224

3604 Live Oak St
Ste 100
Dallas, TX 75204

1420 Viceroy Dr
Dallas, TX 75235

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

4401 Tradition Trl
Plano, TX 75093
Phone (214) 579-6600

Interoperability endpoints

  • Direct secure messaging: stevenbeathard@dneph.allscriptsdirect.net
  • Direct secure messaging: sbeathard52269@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1811930860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 TRADITION TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935633",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3604 Live Oak St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046114",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-826-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATHARD",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J3983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J3983",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.