Active NPI
Ronald Duane Beesley, M.D.
- Reproductive Endocrinology Physician
- Kirkland, WA
National Provider Identifier
1023063013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 60174021
- Practice address
- 12039 NE 128TH St Ste 110
Kirkland, WA 98034-3034 - Phone
- (425) 822-7662
- Fax
- (425) 822-0172
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 60174021 | WA | Primary |
Addresses
Primary practice location
12039 NE 128TH St Ste 110
Kirkland, WA 98034-3034
Mailing address
12039 NE 128TH St Ste 110
Kirkland, WA 98034-3034
Phone (425) 822-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180823001080 | WA | Order and Referring Only - Obstetrics/Gynecology | 6507950409 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60174021 | WA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poma Fertility Medical Associates, PLLC | Past | Accepting new patients | |
| Poma Fertility, LLC | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Kirkland, WA
- NPI 1669717278
-
- Medical Specialty Clinic/Center
- Kirkland, WA
- NPI 1689919292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1023063013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST STE 110",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343034",
"telephone_number": "425-822-7662",
"fax_number": "425-822-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST STE 110",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343034",
"telephone_number": "425-822-7662",
"fax_number": "425-822-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESLEY",
"first_name": "RONALD",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "WA",
"license": "60174021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.