NPIMap

Individual provider Active NPI

Charles Ralph Beamon III, MD

  • Urology Physician
  • Fredericksburg, VA
National Provider Identifier
1194996686
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
50604 Issued in VA
Practice address
1051 Care Way
Fredericksburg, VA 22401-8425
Phone
(540) 374-3131
Fax
(540) 374-3134
NPI assigned
Mar 12, 2008
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 50604 MN
Urology Physician 208800000X 50604 VA Primary

Addresses

Primary practice location

1051 Care Way
Fredericksburg, VA 22401-8425

Mailing address

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090701000454 VA Practitioner - Urology 6103999453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Fredericksburg, PCGroup PAC ID 0345343927, 12 clinicians

Practice addresses (Care Compare)

125 Hospital Ctr Blvd
Suite 329
Stafford, VA 22554-6202
Phone (540) 374-3212

4710 Spotsylvania Pkwy
Suite 204
Fredericksburg, VA 22407-9433
Phone (540) 374-3131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50604VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Jan 1, 2015 Accepting new patients
Urology Associates of Fredericksburg, PC Urology CurrentSince Jul 15, 2009 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 1, 2015 Accepting new patients
Urology Associates Urology Past Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1051 Care Way
Fredericksburg, VA 22401
Phone (540) 374-3131

4710 Spotsylvania Pkwy
Ste 204
Fredericksburg, VA 22407
Phone (540) 374-3131

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3290

Interoperability endpoints

  • Direct secure messaging: cbeamon12086@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: charlesbeamon@fredericksberguro.medalliesdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc05441_uaoffredericksburg
  • FHIR API: https://app.meldrx.com/api/fhir/uc08436_urologyassociatesmuncie

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 4

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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1194996686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131",
            "fax_number": "540-374-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131",
            "fax_number": "540-374-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMON",
        "first_name": "CHARLES",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "50604",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "50604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.