Individual provider Active NPI

Suzanne Jan de Beur, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlottesville, VA
National Provider Identifier
1073560801
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101277779 Issued in VA
Practice address
415 Ray C Hunt Dr Ste 2100
Charlottesville, VA 22903-2980
Phone
(434) 924-1825
Fax
(434) 244-9456
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101277779 VA Primary

Addresses

Primary practice location

415 Ray C Hunt Dr Ste 2100
Charlottesville, VA 22903-2980

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0005
Phone (434) 982-3999

Other identifiers 1

IdentifierTypeStateIssuer
117700100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100716000426 MD Practitioner - EndocrinologyPractitioner - Internal Medicine 9830221498 Reassigns benefits to 1 organization
I20230829001486 VA Practitioner - Endocrinology 9830221498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

415 Ray C Hunt Dr
Suite 2100
Charlotteville, VA 22903-2980
Phone (434) 924-2472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101277779VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 1, 1998 Accepting new patients
Johns Hopkins University Current Accepting new patients
University of Virginia Physicians Group CurrentSince Sep 5, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

600 N Wolfe St
Baltimore, MD 21287

4940 Eastern Ave
#1
Baltimore, MD 21224
Phone (410) 550-0120

4940 Eastern Ave
Baltimore, MD 21224

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

415 Ray C Hunt Dr
Ste 2100
Charlottesville, VA 22903
Phone (434) 924-1825

2955 Ivy Rd
Ste 104
Charlottesville, VA 22903
Phone (434) 243-4720

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

Interoperability endpoints

  • Direct secure messaging: sjandebeur585355@direct.healthsystem.virginia.edu

Organizations & group practices 4

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 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1073560801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RAY C HUNT DR STE 2100",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032980",
            "telephone_number": "434-924-1825",
            "fax_number": "434-244-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080005",
            "country_code": "US",
            "telephone_number": "434-982-3999",
            "fax_number": "434-243-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAN DE BEUR",
        "first_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101277779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117700100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.