Eric Beatty, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003367B Issued in OH

Practice address

775 Waukegan Rd
Suite 200
Deerfield, IL 60015-4342

Phone

(800) 317-0711

Fax

(800) 434-7113

NPI assigned

Jun 28, 2006

Last updated

May 9, 2008By 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 4

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.57 of 100Reported as group

Quality

58.53

Promoting interoperability

100

Improvement activities

40

Cost

86.71

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.beatty.p19@direct.360care.nextgenshare.com

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.

• Mobile Medical Inc

  dba OnSight Health Care

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015
  Medicare reassignment Care Compare group NPD
• Mobile Medical, Inc.

  dba Onsight Health Care

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Dpmgiaimoproh LLC

  • Primary Podiatric Medicine Podiatrist
  • New Boston, OH
  • NPI 1912945965
  NPD (past)
• Dpmwoleryproh LLC

  • Primary Podiatric Medicine Podiatrist
  • Portsmouth, OH
  • NPI 1215983770
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)
• Primesource Healthcare Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
  • NPI 1801008644
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1316975576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 S FRED SHUTTLESWORTH CIR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292113",
            "telephone_number": "513-579-0022",
            "fax_number": "800-434-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WAUKEGAN RD",
            "address_2": "SUITE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154342",
            "telephone_number": "800-317-0711",
            "fax_number": "800-434-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "ERIC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003367B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000518078",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000380377",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2451912",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200827490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Barry
• Jennifer Marie Batista-Matias
• Baxley Family Medicine, PLLC (Baxley Family Medicine)
• Baxter Supply Services LLC
• BBG Psychological Services, Inc. (BBG Psychological Services)
• Charles Bechler
• Steven Beck
• Beth Becker, PSY.D.
• Jamie M Bednarz
• Sharon Beepath, LPC

• Podiatrist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.