Active NPI
Jeffrey Scott Beery, M.D.
- Internal Medicine Physician
- Hillsboro, OH
National Provider Identifier
1104897594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-063290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0857112 | Medicaid | OH |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-063290 | OH | MD | Internal Medicine Physician |
| 63290 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osler Medical Center, Inc. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Hillsboro, OH
- NPI 1326147091
-
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.