Individual provider Active NPI

Jeffrey Corbett Beach, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Carmel, IN
National Provider Identifier
1184672107
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
01057410A Issued in IN
Practice address
12065 Old Meridian Street
Suite 205
Carmel, IN 46032
Phone
(317) 844-5656
Fax
(317) 575-3795
NPI assigned
May 4, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 01057410A IN Primary

Addresses

Primary practice location

12065 Old Meridian Street
Suite 205
Carmel, IN 46032

Mailing address

PO Box 6069
Indianapolis, IN 46206-6069
Phone (317) 844-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20031212000207 IN Practitioner - Otolaryngology 0446155360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates LLCGroup PAC ID 7810931409, 45 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

11725 Illinois St
Suite 445
Carmel, IN 46032-3010
Phone (317) 844-7059

493 Westfield Rd a
RHP Ear Nose and Throat
Noblesville, IN 46060-1304
Phone (317) 770-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside ENT, Inc CurrentSince Aug 1, 2003 Accepting new patients
Otolaryngology Associates, LLC Otolaryngology/Facial Plastic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Riverview Hospital CurrentSince Aug 1, 2024 Accepting new patients
Riverview Hospital CurrentSince Aug 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11725 Illinois St
Ste 445
Carmel, IN 46032
Phone (317) 573-4370

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

8040 Clearvista Pkwy
Ste 350
Indianapolis, IN 46256

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

493 Westfield Rd
Ste A
Noblesville, IN 46060
Phone (317) 770-4100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA
  • Direct secure messaging: jbeach@oa2046.srs-direct.com
  • Direct secure messaging: jeffreybeach@nent.allscriptsdirect.net

Organizations & group practices 5

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 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1184672107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462066069",
            "telephone_number": "317-844-5656",
            "fax_number": "317-575-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN STREET",
            "address_2": "SUITE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-844-5656",
            "fax_number": "317-575-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "JEFFREY",
        "middle_name": "CORBETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IN",
            "license": "01057410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.