NPIMap

Individual provider Active NPI

Stephen Robert Beck, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1174639249
Registry record updated Jul 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01036074 Issued in IN
Practice address
2704 E 62ND St
Ste a
Indianapolis, IN 46220-2958
Phone
(317) 257-1535
Fax
(317) 257-7794
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01036074 IN Primary

Addresses

Primary practice location

2704 E 62ND St
Ste a
Indianapolis, IN 46220-2958

Mailing address

2704 E 62ND St
Ste a
Indianapolis, IN 46220-2958
Phone (317) 257-1535

Other identifiers 2

IdentifierTypeStateIssuer
100347140AMedicaidIN
0000000840127OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000069 IN Practitioner - Internal Medicine 8123293552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2704 E 62ND St
Suite a
Indianapolis, IN 46220-2985
Phone (317) 257-1535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen R Beck MD PC Internal Medicine CurrentSince Oct 31, 2011 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2704 E 62nd St
Ste A
Indianapolis, IN 46220
Phone (317) 257-1535

Organizations & group practices 2

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 9

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278806400000",
    "number": "1174639249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 E 62ND ST",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202958",
            "telephone_number": "317-257-1535",
            "fax_number": "317-257-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 E 62ND ST",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202958",
            "telephone_number": "317-257-1535",
            "fax_number": "317-257-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347140A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000840127",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.