Individual provider Active NPI

Stephen Paul Beals, M.D.

  • Plastic Surgery Physician
  • Paradise Valley, AZ
National Provider Identifier
1134179336
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
15290 Issued in AZ
Practice address
5410 N Scottsdale Rd
Suite E-400
Paradise Valley, AZ 85253-5927
Phone
(480) 947-6788
Fax
(602) 926-2597
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 15290 AZ Primary

Addresses

Primary practice location

5410 N Scottsdale Rd
Suite E-400
Paradise Valley, AZ 85253-5927

Mailing address

5410 N Scottsdale Rd
Suite E-400
Paradise Valley, AZ 85253-5927
Phone (480) 947-6788

Other identifiers 1

IdentifierTypeStateIssuer
251835MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040712001469 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 5799763033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P. Beals M.D., P.C. Plastic Surgery CurrentSince Jan 1, 1986 Accepting new patients

Locations

500 W Thomas Rd
Ste 960
Phoenix, AZ 85013
Phone (602) 266-9066

5410 N Scottsdale Rd
Ste E400
Scottsdale, AZ 85253
Phone (480) 947-6788

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1134179336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE E-400",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-947-6788",
            "fax_number": "602-926-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE E-400",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-947-6788",
            "fax_number": "602-926-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALS",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "15290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251835",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.