Individual provider Active NPI

Melissa Beally, MD

  • Gynecology Physician
  • Oak Park, IL
National Provider Identifier
1306281480
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
036143475 Issued in IL
Practice address
1 Erie CT Ste 6040
Oak Park, IL 60302-2510
Phone
(708) 386-1301
Fax
(708) 386-3053
NPI assigned
May 2, 2013
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Obstetrics & Gynecology Physician 207V00000X MD-56370 IA
Gynecology Physician 207VG0400X 036143475 IL Primary

Addresses

Primary practice location

1 Erie CT Ste 6040
Oak Park, IL 60302-2510

Mailing address

1430 Tulane Ave
SL-11
New Orleans, LA 70112-2632

Other practice location 1

1430 Tulane Ave
SL-11
New Orleans, LA 70112-2632
Phone (504) 988-5217

Other practice location 2

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170829004078 IL Practitioner - Obstetrics/Gynecology 9234410911 Reassigns benefits to 5 organizations
I20251126000894 TX Practitioner - Obstetrics/Gynecology 9234410911 Reassigns benefits to 1 organization
I20260320001531 IA Practitioner - Obstetrics/Gynecology 9234410911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1102 Bates Ave
Houston, TX 77030-2698

405 SW 5TH St
Suite E
Des Moines, IA 50309-4675

PO Box
Dallas, TX 75284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-56370IAMDObstetrics & Gynecology Physician
036143475ILMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Aug 9, 2017 Accepting new patients
Genesis Health System CurrentSince Aug 25, 2022 Accepting new patients
Genesis Health System Obstetrics & Gynecology CurrentSince Aug 25, 2022 Accepting new patients
Genesis Health System CurrentSince Aug 25, 2022 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jun 1, 2024 Accepting new patients
Texas Children's Physician Group CurrentSince Nov 14, 2025 Accepting new patients
PCC Community Wellness Center CurrentSince Aug 9, 2017 Accepting new patients
Texas Children's Hospital Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1 Erie Ct
Ste 6040
Oak Park, IL 60302
Phone (708) 386-1301

1 Erie Ct
Ste 7120
Oak Park, IL 60302
Phone (708) 848-4662

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

Interoperability endpoints

  • Direct secure messaging: melissa.beally.1@13158.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1306281480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-11",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ERIE CT STE 6040",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022510",
            "telephone_number": "708-386-1301",
            "fax_number": "708-386-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Tulane Ave",
            "address_2": "SL-11",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122632",
            "country_code": "US",
            "telephone_number": "504-988-5217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALLY",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-56370",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036143475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.