Sean Daly Beaty, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11844 Issued in NV

Practice address

4101 Wagon Trail Ave
Las Vegas, NV 89118-4426

Phone

(702) 942-4123

Fax

(702) 942-4124

NPI assigned

Nov 28, 2005

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AZ, NV2 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 2

Specialty

Diagnostic Radiology

Education

University of Arizona College of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Radiology Specialists LTD Marasso-Miller

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1437196979
  Medicare reassignment Care Compare group NPD
• Ellis Bandt Birkin Kollins & Wong PLLC

  dba Desert Radiology

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678
  Medicare reassignment NPD
• Shelin Agrawal and Hyer PLLC

  dba Desert Radiology Solutions

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1861783961
  Medicare reassignment NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  AZ

  Medicare reassignment NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931

  AZ

  Medicare reassignment NPD
• Payson Healthcare Management Inc

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1093718694

  Diagnostic Radiology

  NPD (past)
• Payson Hospital Corporation

  dba Payson Regional Medical Center

  • Anesthesiology Physician
  • Payson, AZ
  • NPI 1972792588
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1316920986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "877-406-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WAGON TRAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184426",
            "telephone_number": "702-942-4123",
            "fax_number": "702-942-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "SEAN",
        "middle_name": "DALY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "939788",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00342670",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "86080015085259A463",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509912",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "CC4853",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendallyn Beatty
• Jerry Beatty
• Melissa Ashley Beatty
• Lori Beaty
• Melissa A Beaty, O.D.
• Beau Taggart England, LLC (Lone Mountain Audiology & Hearing)
• Alyona Beauchamp
• Gaven Mathis Beauchamp
• Marlee Beauchamp, PA
• Alexandria Beaudoin, DPT

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.

Verify at the official NPI Registry.