Vidya R Bethi, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD0000027336 Issued in TN

Practice address

482 Warfield Blvd
Clarksville, TN 37043-6071

Phone

(931) 906-6644

Fax

(931) 906-7805

NPI assigned

Jul 27, 2005

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Anesthesiology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1922008440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 WARFIELD BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436071",
            "telephone_number": "931-906-6644",
            "fax_number": "931-906-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 WARFIELD BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436071",
            "telephone_number": "931-906-6644",
            "fax_number": "931-906-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHI",
        "first_name": "VIDYA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "MD0000027336",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "MD0000027336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3800894",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Michael Berrigan, PTA
• Sooji Berthiaume
• Alison Besaka
• Best Care Clinic PLC
• Jessica Bethea
• Better Life Medical Supplies & Equipment
• Christine Michelle Beyke, M.D.
• Tamara Bielstein-Revell, OTR/L
• Big Hearts at Home Care, LLC
• Benjamin Merrill Biggers, LPC/MHSP, NCC

• Interventional Pain Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Interventional Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.