Ralph C Beckett, MD
Individual provider Active NPI Pulmonary Disease Physician · Cedar Rapids, IA
NPI 1245346451 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1245346451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 22922 (IA)
- Practice address
- 115 8TH St NE
Cedar Rapids, IA 52401 - Phone
- (319) 363-3565
- Fax
- (319) 363-4001
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22922 | IA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unitypoint Clinic - Multi-Specialty | Critical Care Medicine | Current | Accepting new patients |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
115 8th St NE
Cedar Rapids, IA 52401
Phone (319) 363-3565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 22922 | IA | |
| Pulmonary Disease Physician | 207RP1001X | 22922 | IA | Yes |
Addresses
Primary practice location
115 8TH St NE
Cedar Rapids, IA 52401
Mailing address
115 8TH St NE
Cedar Rapids, IA 52401
Phone (319) 363-3565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03561 | Other | IA | BCBS |
| 0192393 | Medicaid | IA |
Other providers in Cedar Rapids, IA
- Mark Alan Beckendorf
- Alexis A Becker
- Jennifer Becker
- Staci Becker
- Stephanie Nichole Becker
- Kathrine Rachel Beckman-Shaull
- Melinda Suzanne Beckman
- Melissa Ann Becwar
- Thea M Bedell
- Andrew R Beer
All providers in Cedar Rapids, IA · Pulmonary Disease Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.