Active NPI
Keith A Beck, DPM
- Foot & Ankle Surgery Podiatrist
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 791-025
- Practice address
- 113 W Sunset Dr
Waukesha, WI 53189-7604 - Phone
- (262) 547-2900
- Fax
- (262) 547-1440
- NPI assigned
- May 15, 2006
- Last updated
- Oct 31, 2018
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 791-025 | WI | Primary |
Addresses
Primary practice location
113 W Sunset Dr
Waukesha, WI 53189-7604
Mailing address
4448 Bramblewood Dr
Hartford, WI 53027-9591
Phone (414) 530-1220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1426 S W Ave
Suite B
Waukesha, WI 53189-7476
Phone (262) 547-2900
200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216
Phone (888) 964-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1233 |
| Removal or shaving of skin growth | 343 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791-025 | WI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Foot and Ankle, S.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| Healthdrive Podiatry Group, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Healthdrive Podiatry Group, PC | Current | Accepting new patients |
Locations
200 S Executive Dr
Ste 101
Brookfield, WI 53005
Phone (262) 262-6707
113 W Sunset Dr
Waukesha, WI 53189
Phone (262) 547-2900
1426 S West Ave
Ste B
Waukesha, WI 53189
Phone (262) 547-2900
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.
-
dba HealthDrive Podiatry Group
- Podiatrist
- Brookfield, WI
- NPI 1679504427
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Waukesha, WI
- NPI 1568559789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1104877034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4448 BRAMBLEWOOD DR",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530279591",
"telephone_number": "414-530-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W SUNSET DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897604",
"telephone_number": "262-547-2900",
"fax_number": "262-547-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "KEITH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WI",
"license": "791-025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.