Individual provider Active NPI

Rochele M Beachy, MD

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1013945518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-5946-B Issued in OH
Practice address
4071 Lee Rd
Metrohealth Lee-Harvard Health Center
Cleveland, OH 44128-2100
Phone
(216) 957-1200
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-05-5946-B OH Primary

Addresses

Primary practice location

4071 Lee Rd
Metrohealth Lee-Harvard Health Center
Cleveland, OH 44128-2100

Mailing address

4071 Lee Rd
Metrohealth Lee-Harvard Health Center
Cleveland, OH 44128-2100
Phone (216) 957-1200

Other identifiers 2

IdentifierTypeStateIssuer
0753608MedicaidOH
289542776700OtherOHBWC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100205000004 OH Practitioner - Family Practice 5294878732 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Family Medicine CurrentSince Aug 1, 1994 Accepting new patients
The Metrohealth System CurrentSince Aug 1, 1994 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4071 Lee Rd
Cleveland, OH 44128
Phone (216) 561-1318

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013945518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 LEE RD",
            "address_2": "METROHEALTH LEE-HARVARD HEALTH CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282100",
            "telephone_number": "216-957-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 LEE RD",
            "address_2": "METROHEALTH LEE-HARVARD HEALTH CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282100",
            "telephone_number": "216-957-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHY",
        "first_name": "ROCHELE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-5946-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0753608",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "289542776700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.