Active NPI
Melissa Beally, MD
- Gynecology Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036143475
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-56370 | IA | MD | Obstetrics & Gynecology Physician |
| 036143475 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Community Wellness Center | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Obstetrics & Gynecology | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Children's Physician Group | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | 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
- 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.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
IL, Obstetrics & Gynecology
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
dba MercyOne Clive Family Medicine Clinic
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
dba PCC Austin Dental & Specialty Care Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
dba Texas Children's Hospital North Austin Campus
- Children's Hospital
- Austin, TX
- NPI 1194507947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.