Dr. Forrest Paul Beaulieu, MD

Pediatrics, Pediatric Critical Care Medicine in Philadelphia, PA. Individual provider (NPI-1).

NPI number1619599321

StatusActive

Last updated in NPPESJun 4, 2026

Details

NPI: 1619599321
Entity type: Individual (NPI-1)
Name: Dr. Forrest Paul Beaulieu
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 15, 2020
Certification date: Jun 4, 2026
Last updated: Jun 4, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0203X	Pediatrics, Pediatric Critical Care Medicine	MT219863	PA	Yes

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Phone 215-590-1220

Mailing address

3401 Civic Center Blvd
Division Of Pediatric Critical Care Medicine
Philadelphia, PA 19104-4319

Phone 800-879-2467

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Critical Care Medicine Physician providers in Philadelphia, PA

All 118 Pediatric Critical Care Medicine Physician providers in Philadelphia · All 53,595 providers in Philadelphia

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