Active NPI
Derek A Besing, DPM
- Podiatrist
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0700905
- Practice address
- 328 N 2ND St Ste 205
Vincennes, IN 47591-1353 - Phone
- (812) 882-3312
- Fax
- (812) 882-6181
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0700905 | IN | Primary |
Addresses
Primary practice location
328 N 2ND St Ste 205
Vincennes, IN 47591-1353
Mailing address
1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3325
Other practice location 1
520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 882-5220
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000540311 | Other | IL | ANTHEM |
| 000000540306 | Other | IN | ANTHEM |
| 0936130001 | Other | DMERC ADMINISTRATOR | |
| 351576327 | Other | SAGAMONE | |
| 254060B | Other | IN | MEDICARE |
| 480030220 | Other | MEDICARE RAILROAD | |
| 648091 | Other | HEALTHLINK | |
| 200281800 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 120 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 482 |
| Removal or shaving of skin growth | 25 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0700905 | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Physician Services, Inc | Current | Accepting new patients | |
| Good Samaritan Hospital | Current | Accepting new patients | |
| David P Grundman DPM | Podiatrist | Past | Accepting new patients |
| Good Samaritan Hospital Physician Services Inc. | Past | Accepting new patients |
Locations
328 N 2nd St
Ste 205
Vincennes, IN 47591
Phone (812) 882-1000
202 Broadway St
Vincennes, IN 47591
Phone (812) 882-3312
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
328 N 2nd St
Ste 202
Vincennes, IN 47591
Interoperability endpoints
- dbesing121491@direct.deaconess.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1760145973
-
- Podiatrist
- Vincennes, IN
- NPI 1275692675
-
- Radiation Oncology Physician
- Vincennes, IN
- NPI 1629050646
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1003903378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 E SAINT CLAIR ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914853",
"telephone_number": "812-885-3325",
"fax_number": "812-885-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 N 2ND ST STE 205",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911353",
"telephone_number": "812-882-3312",
"fax_number": "812-882-6181"
}
],
"practiceLocations": [
{
"address_1": "520 S 7th St",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "475911038",
"country_code": "US",
"telephone_number": "812-882-5220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BESING",
"first_name": "DEREK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "0700905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000540311",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000540306",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC ADMINISTRATOR",
"identifier": "0936130001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMONE",
"identifier": "351576327",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "254060B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480030220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "648091",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200281800",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.