Individual provider Active NPI

Nicholas Alexander Beam

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1053881896
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
SP019184 Issued in PA
Practice address
3400 Civic Center Boulevard
Philadelphia, PA 19104-5127
Phone
(215) 615-0063
Fax
(215) 349-8144
NPI assigned
Dec 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X SP019184 PA Primary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X SP019184 PA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X SP019184 PA

Addresses

Primary practice location

3400 Civic Center Boulevard
Philadelphia, PA 19104-5127

Mailing address

3400 Civic Center Blvd
4TH Floor, West Pavilion
Philadelphia, PA 19104-5157
Phone (215) 615-5858

Other practice location 1

1 Medical Center Blvd Ste 231
Chester, PA 19013-3902
Phone (844) 464-6387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529002234 PA Practitioner - Nurse Practitioner 4688917990 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 615-0063

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019184PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Jun 20, 2022 Accepting new patients
Reading Hospital Single Specialty CurrentSince Jun 20, 2022 Accepting new patients
Performance Spine and Sports Physicians, PC Single Specialty CurrentSince Nov 29, 2021 Accepting new patients
Performance Spine & Sports Physicians, PC CurrentSince Nov 29, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Single Specialty Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2023 Accepting new patients
Milton S Hershey Medical Center Physicians Group Single Specialty CurrentSince Sep 3, 2019 Accepting new patients
Reading Hospital Single Specialty Current Accepting new patients
The Milton S Hershey Medical Center Physician Group Single Specialty CurrentSince Sep 3, 2019 Accepting new patients
University of Penn-Medical Group Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

1 Continental Dr
Elizabethtown, PA 17022
Phone (717) 361-0666

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

1603 E High St
Ste A
Pottstown, PA 19464
Phone (610) 327-2400

420 S 5th Ave
Bldg N
West Reading, PA 19611
Phone (484) 628-0900

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

Organizations & group practices 10

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 4

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1053881896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "4TH FLOOR, WEST PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045157",
            "telephone_number": "215-615-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BOULEVARD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-0063",
            "fax_number": "215-349-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd Ste 231",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "844-464-6387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAM",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "SP019184",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "SP019184",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.