Active NPI
Richard W Beatty, M.D.
- Internal Medicine Physician
- Salem, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35066225B
- 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.
-
- Family Medicine Physician
- Salem, OH
- NPI 1619959822
-
- Internal Medicine Physician
- Hudson, OH
- NPI 1093756314
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OH
- NPI 1639131535
Care Compare affiliation Hospital -
- Radiology Clinic/Center
- Calcutta, OH
- NPI 1750227377
Care Compare affiliation Hospital
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
Practice addresses (Care Compare)
1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7840
Hospital & facility affiliations
- Salem Regional Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35066225B | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCH Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Inpatient Medical Services, Inc. | Internal Medicine | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35066225B | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 965148 | Medicaid | OH | |
| 0014993130003 | Medicaid | PA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.