Individual provider Active NPI

Heidi Margaret Beery, M.D.

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1164627667
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD29209 Issued in OR
Practice address
2508 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone
(541) 673-5225
Fax
(541) 229-4777
NPI assigned
Jun 15, 2007
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD29209 OR Primary
Internal Medicine Physician 207R00000X MD29209 OR
Hospitalist Physician 208M00000X MD29209 OR

Addresses

Primary practice location

2508 NW Medical Park Dr
Roseburg, OR 97471-5510

Mailing address

2508 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone (541) 673-5225

Other identifiers 1

IdentifierTypeStateIssuer
168395MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100809000100 OR Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 3476686676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Oregon Health Sciences University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah L. Agsten DO, PCGroup PAC ID 9537056312, 2 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

2508 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone (541) 673-5225

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29209ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Apr 1, 2020 Accepting new patients
Sarah L. Agsten DO, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Umpqua Community Health Center, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2508 NW Medical Park Dr
Roseburg, OR 97471
Phone (541) 673-5225

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Organizations & group practices 4

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 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1164627667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-5225",
            "fax_number": "541-229-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-5225",
            "fax_number": "541-229-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERY",
        "first_name": "HEIDI",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD29209",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD29209",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD29209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.