DR. NICHOLAS TYLER BEAVERS (MD) – Hospitalist Physician, NPI 1457939993

DR. NICHOLAS TYLER BEAVERS (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 45257 (AL). The NPI Number for DR. NICHOLAS TYLER BEAVERS (MD) is 1457939993

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS TYLER BEAVERS (MD)
NPI
1457939993
Phone
Not provided
Address
625 19TH ST S
Enumeration Date
29 March 2021
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
2055141122
Graduation Year
2021 (5 years ago)
PAC ID
2860892775
Group Practice PAC ID
4082926449
Professional Enrollment ID
I20240319000744
Address ID
AL350224527BE995XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

358 HOSPITALIST in AL

Provider Addresses for DR. NICHOLAS TYLER BEAVERS (MD)

  • 625 19TH ST S

    BIRMINGHAM, AL 352331900

    Phone:

    Type: Mailing

  • 5000 MEDICAL WEST WAY

    BESSEMER, AL 350227082

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($84).

Total Amount

$162

General + Research + Ownership

Payments

7

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240319000744IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082926449View full group profile
NameSpecialtyState
-AL
Physician AssistantAL
H O S P I T A L I S TAL
H O S P I T A L I S TGA
Internal MedicineAL
H O S P I T A L I S TAL
-AL
Internal MedicineAL
Internal MedicineAL
Physician AssistantAL

Reviews

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Frequently asked questions

How do I look up DR. NICHOLAS TYLER BEAVERS (MD) by NPI?
Use NPI 1457939993 when you need to reference DR. NICHOLAS TYLER BEAVERS (MD) in forms, claims, or directories.
Does this profile mean DR. NICHOLAS TYLER BEAVERS (MD) is currently active?
Yes — DR. NICHOLAS TYLER BEAVERS (MD) appears active in the national provider directory.
Does DR. NICHOLAS TYLER BEAVERS (MD) list a primary specialty?
If you are matching referrals, note Hospitalist Physician for DR. NICHOLAS TYLER BEAVERS (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. NICHOLAS TYLER BEAVERS (MD)?
The snapshot lists Birmingham, Alabama for DR. NICHOLAS TYLER BEAVERS (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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