DR. JUAN C BETETA MD
NPI 1417942947
Pediatrics in Portsmouth, VA

Q: What is Juan Beteta's NPI number?

The NPI number for Juan Beteta is 1417942947. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Juan Beteta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Beteta was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2005PECOS Enrolled

620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-6366(757) 953-6056 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2021, Mar 17, 2018, Jun 8, 2017 (3 updates tracked since 2017).

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About Dr. Juan C Beteta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN C BETETA MD (NPI 1417942947) is an individual pediatrics provider in Portsmouth, Virginia, licensed in Virginia (0101239136) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417942947

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JUAN C BETETACredential: MD

Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111

Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-6366 · Fax (757) 953-6056

Phone(757) 953-6366

Fax(757) 953-6056

Sole ProprietorNo

Enumeration DateSeptember 12, 2005

Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1417942947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in VA · 0101239136✔ Licensed in NC · 2009-01512✔ Licensed in MS · 15929

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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Other Identifiers 1

Medicaid00119596MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juan C Beteta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Juan Beteta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs, Phs, Naihs, Gallup Indian Medical Center

1,800 mi

Public Health, Federal

007 CHOOSGAI DRIVE
Tohatchi, NM 87325

Reassigned Medicare billing, Texas enrollment
618 clinicians in this Medicare group

NPI 1902875594 (505) 722-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA

Nurse Anesthetist, Certified Registered

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-3238

ERIC FRANCIS SULAVA

Emergency Medicine

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

MRS. TIFFNY KUPER RHH

Dental Hygienist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2711

DR. LAKEISHA GOODE PHARMD

Pharmacist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-7462

JASMINE WOOD MD

Surgery

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1895

NICHOLAS FANSELOW

General Practice

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

DR. DAVID JESSEN MD

Military Health Care Provider

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2518

DR. DANIEL VERNON UNGER M.D.

Orthopaedic Surgery

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Beteta's NPI number?

The NPI number for Juan Beteta is 1417942947. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Juan Beteta located?

Juan Beteta practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-6366.

What is Juan Beteta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Juan Beteta enrolled in Medicare?

Yes. Juan Beteta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juan Beteta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Beteta reassigns Medicare benefits to Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Beteta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juan Beteta was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.