NPIMap

Individual provider Active NPI

Emily K Beamer, MD

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1013961861
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036093823 Issued in IL
Practice address
1011 Lake St
Suite 300
Oak Park, IL 60301-1148
Phone
(708) 628-0600
Fax
(708) 628-0608
NPI assigned
May 19, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036093823 IL
Internal Medicine Physician 207R00000X 036093823 IL Primary

Addresses

Primary practice location

1011 Lake St
Suite 300
Oak Park, IL 60301-1148

Mailing address

1011 Lake St
Suite 300
Oak Park, IL 60301-1148
Phone (708) 628-0600

Other identifiers 1

IdentifierTypeStateIssuer
036093823MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebeamer146197@direct.luhs.org Direct LOYOLA UNIVERSITY MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000578 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6002712049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036093823ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Loyola University Medical Center Current Accepting new patients
DRS Beamer Carlon Craigen SC Internal Medicine Current Accepting new patients
Rush Oak Park Physicians Group Lake Street Internal Medicine CurrentSince Jun 24, 2013 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 1620
Chicago, IL 60675

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

1011 Lake St
Ste 300
Oak Park, IL 60301
Phone (708) 366-7896

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

1S224 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 916-7088

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

777 Oakmont Ln
Ste 160
Westmont, IL 60559

777 Oakmont Ln
Ste 1600
Westmont, IL 60559

Interoperability endpoints

  • Direct secure messaging: ebeamer20164@direct.rush.rush-health.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1013961861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "address_2": "SUITE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "708-628-0600",
            "fax_number": "708-628-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "address_2": "SUITE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "708-628-0600",
            "fax_number": "708-628-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMER",
        "first_name": "EMILY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036093823",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093823",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebeamer146197@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.