Active NPI
Beau Jacob Batton, M.D.
- Neonatal-Perinatal Medicine Physician
- Springfield, IL
National Provider Identifier
1215037494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 35.086153
- Practice address
- 415 N 9TH St
Suite 4W16
Springfield, IL 62702-5303 - Phone
- (800) 331-2229
- Fax
- (217) 757-6844
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 35.086153 | OH | Primary |
Addresses
Primary practice location
415 N 9TH St
Suite 4W16
Springfield, IL 62702-5303
Mailing address
PO Box 19676
Springfield, IL 62794-9676
Phone (800) 331-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036120844 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.086153 | OH | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
415 N 9th St
Ste 4W16
Springfield, IL 62702
Phone (800) 331-2229
415 N 9th St
Springfield, IL 62702
Phone (217) 545-5117
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1164055976
-
- Pediatrics Physician
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- NPI 1285657379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1215037494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19676",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949676",
"telephone_number": "800-331-2229",
"fax_number": "217-757-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 9TH ST",
"address_2": "SUITE 4W16",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025303",
"telephone_number": "800-331-2229",
"fax_number": "217-757-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTON",
"first_name": "BEAU",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OH",
"license": "35.086153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036120844",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.