Individual provider Active NPI

Richard W Beatty, M.D.

  • Internal Medicine Physician
  • Salem, OH
National Provider Identifier
1023034808
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35066225B Issued in OH
Practice address
1995 E State St
Salem, OH 44460-2423
Phone
(330) 330-1551
Fax
(330) 332-7724
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional Corporation 59 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7840

Hospital & facility affiliations

  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120104000460 OH Practitioner - Internal Medicine 5496883027 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066225BOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

4040 Embassy Pkwy
Ste 400
Akron, OH 44333
Phone (330) 576-4295

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

1995 E State St
#1
Salem, OH 44460

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35066225B OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1995 E State St
Salem, OH 44460-2423

Mailing address

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-1551

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
965148MedicaidOH
0014993130003MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2024.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1023034808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-332-1551",
            "fax_number": "330-332-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-330-1551",
            "fax_number": "330-332-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35066225B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965148",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014993130003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.