Individual provider Active NPI

Kristopher J Beickman, M.D.

  • Obstetrics & Gynecology Physician
  • Henderson, KY
National Provider Identifier
1164499026
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
39183 Issued in KY
Practice address
2000 N Elm St
# 2
Henderson, KY 42420-2385
Phone
(270) 831-6651
Fax
(270) 831-1133
NPI assigned
Mar 1, 2006
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 39183 KY Primary
Obstetrics & Gynecology Physician 207V00000X 01056423A IN

Addresses

Primary practice location

2000 N Elm St
# 2
Henderson, KY 42420-2385

Mailing address

PO Box 13059
Belfast, ME 04915-4021
Phone (317) 583-3022

Other identifiers 3

IdentifierTypeStateIssuer
201054740MedicaidIN
000000761343OtherANTHEM PIN
65939613MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050630000786 KY Practitioner - Obstetrics/Gynecology 1456397363 Reassigns benefits to 2 organizations
I20180712003155 AL Practitioner - Obstetrics/Gynecology 1456397363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Health, Inc.Group PAC ID 4981508454, 69 clinicians

Practice addresses (Care Compare)

736 N Elm St
Henderson, KY 42420-2938
Phone (270) 827-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partlow, Harbin and Poist OB-GYN, MD, PC Obstetrics & Gynecology CurrentSince Jun 12, 2018 Accepting new patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Aug 12, 2018 Accepting new patients
Methodist Health, Inc. Current Accepting new patients
Methodist Health, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Past Accepting new patients

Locations

701 University Blvd E
Ste 502
Tuscaloosa, AL 35401
Phone (205) 349-4131

1355 US Highway 41A S
Dixon, KY 42409
Phone (270) 639-9101

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651

736 N Elm St
Henderson, KY 42420
Phone (270) 827-4000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

Interoperability endpoints

  • Direct secure messaging: kbeickman42447@direct.deaconess.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1164499026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13059",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154021",
            "telephone_number": "317-583-3022",
            "fax_number": "317-583-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N ELM ST",
            "address_2": "# 2",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202385",
            "telephone_number": "270-831-6651",
            "fax_number": "270-831-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEICKMAN",
        "first_name": "KRISTOPHER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "39183",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01056423A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201054740",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000761343",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939613",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.