Individual provider Active NPI

Nicholas Beecroft

  • Urology Physician
  • Beavercreek, OH
National Provider Identifier
1104452275
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.154388 Issued in OH
Practice address
2365 Lakeview Dr Ste C
Beavercreek, OH 45431-3639
Phone
(937) 342-9260
Fax
(937) 342-9262
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.154388 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2365 Lakeview Dr Ste C
Beavercreek, OH 45431-3639

Mailing address

1164 E Home Rd Ste J
Springfield, OH 45503-2726
Phone (937) 342-9260

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910001528 OH Practitioner - Urology 8224454012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Urology LLCGroup PAC ID 6608977459, 9 clinicians

Practice addresses (Care Compare)

1164 E Home Rd
Suite J
Springfield, OH 45503-2726
Phone (937) 342-9260

Hospital & facility affiliations

  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Kettering Health Greene Memorial Hospital, Xenia, OH, CCN 360026
  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Urology LLC Urology CurrentSince Sep 1, 2025 Accepting new patients

Locations

2365 Lakeview Dr
Ste C
Beavercreek, OH 45431
Phone (937) 342-9260

1164 E Home Rd
Springfield, OH 45503
Phone (937) 342-9260

1164 E Home Rd
Ste J
Springfield, OH 45503
Phone (937) 342-9260

Interoperability endpoints

  • Direct secure messaging: nicholas.beecroft.p2@direct.springfieldurology.nextgenshare.com

Organizations & group practices 1

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 6

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1104452275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 E HOME RD STE J",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-342-9260",
            "fax_number": "937-342-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 LAKEVIEW DR STE C",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313639",
            "telephone_number": "937-342-9260",
            "fax_number": "937-342-9262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEECROFT",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.154388",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.