NPIMap

Individual provider Active NPI

Richard Lee Beasley, MD

  • Internal Medicine Physician
  • Rapid City, SD
National Provider Identifier
1093785735
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3782 Issued in SD
Practice address
5410 Sheridan Lake Rd
Rapid City, SD 57702-9208
Phone
(605) 348-4141
Fax
(605) 342-7880
NPI assigned
Jan 25, 2006
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3782 SD Primary

Addresses

Primary practice location

5410 Sheridan Lake Rd
Rapid City, SD 57702-9208

Mailing address

5410 Sheridan Lake Rd
Rapid City, SD 57702-9208
Phone (605) 348-4141

Other identifiers 2

IdentifierTypeStateIssuer
6001152MedicaidSD
4995691OtherSDWELLMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000944 SD Practitioner - Internal Medicine 3476442450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Concepts Wellness Care LLCGroup PAC ID 0648324418, 3 clinicians

Practice addresses (Care Compare)

5410 Sheridan Lake Rd
Rapid City, SD 57702-9208
Phone (605) 348-4141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3782SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Concepts Wellness Care LLC CurrentSince Jun 1, 2009 Accepting new patients
Rushmore Clinic, P.C. Internal Medicine Past Accepting new patients
RLB MD PC Internal Medicine PastSince Nov 19, 2003 Accepting new patients

Locations

1600 Mountain View Rd
Ste 108
Rapid City, SD 57702
Phone (605) 343-7295

5410 Sheridan Lake Rd
Rapid City, SD 57702
Phone (605) 348-4141

Interoperability endpoints

  • Direct secure messaging: clinical@healthconcept.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1093785735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SHERIDAN LAKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029208",
            "telephone_number": "605-348-4141",
            "fax_number": "605-342-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SHERIDAN LAKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029208",
            "telephone_number": "605-348-4141",
            "fax_number": "605-342-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "3782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001152",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "4995691",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.