Individual provider Active NPI

Richard Anthony Beller, M.D.

  • Ophthalmology Physician
  • Auburn, WA
National Provider Identifier
1396741005
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60818145 Issued in WA
Practice address
700 M St NE
Auburn, WA 98002-4586
Phone
(206) 212-2100
Fax
(206) 212-2194
NPI assigned
Jun 27, 2005
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G40056 CA
Ophthalmology Physician 207W00000X MD60818145 WA Primary

Addresses

Primary practice location

700 M St NE
Auburn, WA 98002-4586

Mailing address

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Other practice location 1

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Other identifiers 3

IdentifierTypeStateIssuer
2112080MedicaidWA
G40056MedicaidCA
G8990641OtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20080701000624 CA Practitioner - Ophthalmology 7012985310 Reassigns benefits to 1 organization
I20190308002031 WA Practitioner - Ophthalmology 7012985310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians
Eye Care Center of Napa Valley a Medical CorporationGroup PAC ID 5496723793, 8 clinicians

Practice addresses (Care Compare)

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.95

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40056CAMDOphthalmology Physician
MD60818145WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC CurrentSince Nov 26, 2018 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology CurrentSince Nov 26, 2018 Accepting new patients
Eye Care Center of Napa Valley, a Medical Corporation Ophthalmology CurrentSince Dec 17, 1993 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Current Accepting new patients
Eye Care Center of Napa Valley a Medical Corporation Ophthalmology CurrentSince Apr 1, 1998 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

895 Trancas St
Napa, CA 94558
Phone (707) 252-0990

700 M St NE
Auburn, WA 98002
Phone (206) 212-2100

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

Interoperability endpoints

  • Direct secure messaging: rbeller@cepwa-eec.emadirect.md

Organizations & group practices 8

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1396741005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "206-212-2100",
            "fax_number": "206-212-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024586",
            "telephone_number": "206-212-2100",
            "fax_number": "206-212-2194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Trancas St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945583040",
            "country_code": "US",
            "telephone_number": "707-252-2020",
            "fax_number": "707-252-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLER",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G40056",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60818145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112080",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G40056",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8990641",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.