Jack Gray Beaird, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Richfield, MN
NPI 1407810286 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1407810286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 21323 (MN)
- Practice address
- 407 W 66TH St
Richfield, MN 55423-2374 - Phone
- (612) 798-8800
- Fax
- (612) 798-8816
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Geriatric Medicine
- Education
- Baylor College of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Hospital & facility affiliations
- Allina Health Home Health
- Abbott Northwestern Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100315000987 | MN | Practitioner - Geriatric Medicine | 5092840132 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2925 Chicago Ave
#10809
Minneapolis, MN 55407
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
407 W 66th St
Richfield, MN 55423
Phone (612) 798-8800
Interoperability endpoints
- jbeaird89584@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 21323 | MN | Yes |
Addresses
Primary practice location
407 W 66TH St
Richfield, MN 55423-2374
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194380400 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbeaird89584@excellian.direct.allina.com | Direct |
Other providers in Richfield, MN
- Lily Q Barnard
- Fadumo Abdullahi Barqadle
- Mariam Ali Barre
- Shawna Lorraine Bartelmehs
- Matthew Stephen Baumgardner
- Mary Petrosko Becker
- Ava C Bednarz
- Lisa M Benish
- Monique Benson
- Rebecca Leigh Benson
All providers in Richfield, MN · Geriatric Medicine (Internal Medicine) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.