Roger Dennis Beyer, M.D.

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

4301046890 Issued in MI

Practice address

7110 Stadium Dr
Kalamazoo, MI 49009-9423

Phone

(269) 372-7600

Fax

(269) 372-7604

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1295718138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 STADIUM DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099423",
            "telephone_number": "269-372-7600",
            "fax_number": "269-372-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099423",
            "telephone_number": "269-372-7600",
            "fax_number": "269-372-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "ROGER",
        "middle_name": "DENNIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "4301046890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0800024",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784859",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Bettuo
• Christopher Betzle, MD
• Rudi Ollero Betzold, LMSW
• Jordan M Bewley
• Kevin L. Beyer, D.O.
• Ankur Dinesh Bhagat, DO
• Lubhin L Bhagat, MD
• Saurabh Bhan, P.A.
• Jaspreet Bharaj
• Sanjay Bhatia, MD

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.