Individual provider Active NPI

Michael Beltran Corpus, MD

  • Family Medicine Physician
  • El Dorado, AR
National Provider Identifier
1902005234
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E5778 Issued in AR
Practice address
460 W Oak St
El Dorado, AR 71730-4567
Phone
(870) 881-4478
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E5778 AR Primary

Addresses

Primary practice location

460 W Oak St
El Dorado, AR 71730-4567

Mailing address

321 Mockingbird LN
El Dorado, AR 71730-2837
Phone (870) 875-8838

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
I20160930000239 TX Practitioner - Family Practice 1658437041 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Emergency Medicine Group, LLPGroup PAC ID 5092046482, 14 clinicians
Ipa ER Group PLLCGroup PAC ID 9133655616, 27 clinicians

Practice addresses (Care Compare)

1301 Montgomery Rd
Graham, TX 76450-4240
Phone (940) 549-3400

2850 E Hwy 114
Trophy Club, TX 76262-5302
Phone (214) 696-8033

Hospital & facility affiliations

  • Graham Regional Medical Center Hospital, Graham, TX, CCN 671300
  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5778ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Aug 20, 2016 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 20, 2016 Accepting new patients
Ess of Fairfield LLC CurrentSince Nov 1, 2020 Accepting new patients
Ess of South Texas LLC CurrentSince Aug 1, 2020 Accepting new patients
Texas Emergency Medicine Group, LLP CurrentSince Feb 1, 2023 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Sep 1, 2019 Accepting new patients
Concord North Texas, PLLC CurrentSince Sep 15, 2017 Accepting new patients
Ipa ER Group PLLC Family Medicine CurrentSince Feb 10, 2026 Accepting new patients
HCC of Fairfield LLC CurrentSince Oct 17, 2020 Accepting new patients
McGehee Desha County Hospital Past Accepting new patients
Chicot Memorial Hospital Past Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

738 E Quinlan Pkwy
Quinlan, TX 75474
Phone (903) 408-4800

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Interoperability endpoints

  • Direct secure messaging: mcorpus450417@ahs.direct-ci.com
  • Direct secure messaging: michael.corpus.1@13131.direct.athenahealth.com
  • Direct secure messaging: fmcmcorpu@yourcarecommunity.org

Organizations & group practices 11

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 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1902005234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MOCKINGBIRD LN",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717302837",
            "telephone_number": "870-875-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304567",
            "telephone_number": "870-881-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUS",
        "first_name": "MICHAEL",
        "middle_name": "BELTRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.