Individual provider Active NPI

Maria R Beltran, MD

  • Diagnostic Radiology Physician
  • Stuart, FL
National Provider Identifier
1952383390
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME77116 Issued in FL
Practice address
1343 NW Coconut Point LN
Stuart, FL 34994-9485
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Nov 18, 2005
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35 088574 OH
Diagnostic Radiology Physician 2085R0202X ME77116 FL Primary

Addresses

Primary practice location

1343 NW Coconut Point LN
Stuart, FL 34994-9485

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

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
I20040421001536 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 4789670167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 088574OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Radiology L L C CurrentSince Aug 13, 2018 Accepting new patients
University Imaging Inc Diagnostic Radiology Past Accepting new patients
Palm Beach Efl Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Lsu Medical Center Past Accepting new patients
Gardens Radiology Associates, PA Diagnostic Radiology Past Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA Diagnostic Radiology Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1952383390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 NW COCONUT POINT LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949485",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "MARIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35 088574",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME77116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.