Andrew Dodson Beaty, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

L8612 Issued in TX

Practice address

4200 S Hulen St Ste 230
Fort Worth, TX 76109-4924

Phone

(817) 315-2550

Fax

(817) 732-4660

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Allergy/Immunology

Education

University of Texas Medical Branch at Galveston, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Andrew D Beaty MD PA

  • Allergy Physician
  • Fort Worth, TX
  • NPI 1497200935

  Allergy & Immunology

  Medicare reassignment NPD Authorized official
• Allergy & Asthma Physicians of Arlington, P.a.

  • Allergy & Immunology Physician
  • Arlington, TX
  • NPI 1013002732
  NPD (past)
• Millard L Tierce IV DO

  • Allergy & Immunology Physician
  • Fort Worth, TX
  • NPI 1609536275
  NPD (past)
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1891848271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "ANDREW",
        "middle_name": "DODSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L8612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Damon Beasley, PA-C
• Clifton H Beasley Jr., MD
• George Beasley, D.O.
• Jamarcus Beasley
• Beaty Business Spendthrift Trust
• Kathrine Kimberly Beaty, FNP
• Siobhan D Beaty, LCSW
• Beauford Basped Jr DO PLLC
• Beautiful Beginnings
• Beautiful Beginnings Birth & Women'S Center

• Allergy & Immunology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.