Individual provider Active NPI

Gregory Louis Beelek, 1045861

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1346362308
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1045861
Practice address
8715 Village Dr Ste 518
San Antonio, TX 78217-5423
Phone
(210) 590-7712
NPI assigned
Apr 3, 2007
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1045861 Primary

Addresses

Primary practice location

8715 Village Dr Ste 518
San Antonio, TX 78217-5423

Mailing address

857 Fair LN
New Braunfels, TX 78130-3552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003155 NH Practitioner - Physician Assistant 5597804617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 665-5150

330 Borthwick Ave
Suite 201
Portsmouth, NH 03801-4102
Phone (603) 436-6638

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2805NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince May 23, 2024 Accepting new patients
Catholic Medical Center CurrentSince May 23, 2024 Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
#B
Manchester, NH 03102
Phone (603) 663-6431

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: gregory.beelek@hca6.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1346362308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 FAIR LN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175423",
            "telephone_number": "210-590-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELEK",
        "first_name": "GREGORY",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "1045861",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1045861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.