Active NPI
Michael Beltran Corpus, MD
- Family Medicine Physician
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E5778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLPIpa ER Group PLLC
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
- Baylor Medical Center at Trophy Club
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5778 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Ess of Fairfield LLC | Current | Accepting new patients | |
| Ess of South Texas LLC | Current | Accepting new patients | |
| Texas Emergency Medicine Group, LLP | Current | Accepting new patients | |
| Ess of Nacogdoches LLC | Current | Accepting new patients | |
| Concord North Texas, PLLC | Current | Accepting new patients | |
| Ipa ER Group PLLC | Family Medicine | Current | Accepting new patients |
| HCC of Fairfield LLC | Current | 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
- mcorpus450417@ahs.direct-ci.com
- michael.corpus.1@13131.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Critical Access Hospital
- Lake Village, AR
- NPI 1497701973
-
- Clinic/Center
- MC Gehee, AR
- NPI 1770756769
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.