Individual provider Active NPI

Christopher T Beal, D.O.

  • Internal Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1003980277
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
510105357 Issued in MI
Practice address
110 W Higham St
Saint Johns, MI 48879-1559
Phone
(989) 224-0646
Fax
(989) 224-0646
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 510105357 MI Primary

Addresses

Primary practice location

110 W Higham St
Saint Johns, MI 48879-1559

Mailing address

110 W Higham St
Saint Johns, MI 48879-1559
Phone (989) 224-0646

Other identifiers 1

IdentifierTypeStateIssuer
114792671MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050801000037 MI Practitioner - Internal MedicinePractitioner - Family Practice 5294763546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 W Higham St
Saint Johns, MI 48879-1559
Phone (989) 224-0646

Hospital & facility affiliations

  • Compassus - Lansing Hospice, Lansing, MI, CCN 231599
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • Hazel I Findlay Country Manor Nursing home, Saint Johns, MI, CCN 235602

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510105357MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Internal Medicine PC Internal Medicine CurrentSince Jul 5, 2005 Accepting new patients
Clinton Area Care Center, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1101 S Scott Rd
Saint Johns, MI 48879
Phone (989) 224-8936

110 W Higham St
Saint Johns, MI 48879
Phone (989) 224-0646

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1003980277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HIGHAM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791559",
            "telephone_number": "989-224-0646",
            "fax_number": "989-224-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W HIGHAM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791559",
            "telephone_number": "989-224-0646",
            "fax_number": "989-224-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "510105357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114792671",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.