Robert Alfred Beatty, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-037972 Issued in IL

Practice address

911 North Elm Street
Suite 114
Hinsdale, IL 60521-3247

Phone

(630) 986-8290

Fax

(630) 986-8312

NPI assigned

Sep 9, 2005

Last updated

Mar 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Robert a. Beatty, M.D. S.C.

  • Specialist
  • Hinsdale, IL
  • NPI 1164635769
  NPD (past) Authorized official
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1205820818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 NORTH ELM STREET",
            "address_2": "SUITE 114",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213247",
            "telephone_number": "630-986-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NORTH ELM STREET",
            "address_2": "SUITE 114",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213247",
            "telephone_number": "630-986-8290",
            "fax_number": "630-986-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "ROBERT",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-037972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2201575",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C Barry, SLP
• Kristie Bates, ATC
• Robert Andrew Battista, MD
• Stephanie Bayers, MD
• Nora J. Beasanski, MSW, LCSW
• Laura Ann Beckley, RD,LDN
• George Behrens, M.D.
• Evangelina Mendoza Belizario, M.D.
• Anthony Joseph Bell, MD
• Anthony Richard Bell, APN

• Specialist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.