Individual provider Active NPI

Nathan Beecham Tennyson, MD

  • Radiation Oncology Physician
  • Jupiter, FL
National Provider Identifier
1881986800
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
128302 Issued in FL
Practice address
1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone
(561) 263-4400
NPI assigned
May 10, 2011
Last updated
Aug 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 128302 FL Primary

Addresses

Primary practice location

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205

Mailing address

301 N Atlantic Dr
Lantana, FL 33462-1917
Phone (804) 615-0762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161003002613 FL Practitioner - Radiation Oncology 4082857982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128302FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Benaim Eye LLC PastSince Jul 2, 2013 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400

1240 S Old Dixie Hwy
Fl 1
Jupiter, FL 33458

1240 S Old Dixie Hwy
Fl 2
Jupiter, FL 33458
Phone (561) 263-4400

2055 Military Trl
Ste 101
Jupiter, FL 33458
Phone (561) 741-1705

2055 Military Trl
Ste 307
Jupiter, FL 33458
Phone (561) 263-7449

Interoperability endpoints

  • Direct secure messaging: ntennyson@jupitermed.direct.varian.com

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

Hospital & facility affiliations 3

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1881986800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ATLANTIC DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621917",
            "telephone_number": "804-615-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "NATHAN",
        "middle_name": "BEECHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "128302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.