Individual provider Active NPI

Jeffrey Scott Beery, M.D.

  • Internal Medicine Physician
  • Hillsboro, OH
National Provider Identifier
1104897594
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-063290 Issued in OH
Practice address
219 W Main St.
Osler Medical Center
Hillsboro, OH 45133
Phone
(937) 393-6633
Fax
(937) 393-8588
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63290 OH
Internal Medicine Physician 207R00000X 35-063290 OH Primary

Addresses

Primary practice location

219 W Main St.
Osler Medical Center
Hillsboro, OH 45133

Mailing address

PO Box 37
Osler Medical Center
Hillsboro, OH 45133
Phone (937) 393-6633

Other identifiers 1

IdentifierTypeStateIssuer
0857112MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-063290OHMDInternal Medicine Physician
63290OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osler Medical Center, Inc. Internal Medicine CurrentSince Jul 1, 1992 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

219 W Main St
Hillsboro, OH 45133
Phone (937) 393-5067

Interoperability endpoints

  • Direct secure messaging: jbeery37570@direct.trihealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1104897594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "address_2": "OSLER MEDICAL CENTER",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-6633",
            "fax_number": "937-393-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAIN ST.",
            "address_2": "OSLER MEDICAL CENTER",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-6633",
            "fax_number": "937-393-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERY",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "63290",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-063290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0857112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.