Active NPI
Russell Larry Beamer, MD
- Surgery Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0418698
- Practice address
- 818 N Emporia St
Suite 200
Wichita, KS 67214-3729 - Phone
- (316) 263-0296
- Fax
- (316) 263-9523
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0418698 | KS | Primary |
Addresses
Primary practice location
818 N Emporia St
Suite 200
Wichita, KS 67214-3729
Mailing address
551 N Hillside St Ste 201
Wichita, KS 67214-4923
Phone (316) 263-0296
Other practice location 1
200 Commodore St
Pratt, KS 67124-2903
Phone (620) 450-1186
Other practice location 2
124 Commodore St Ste B
Pratt, KS 67124-2995
Phone (620) 672-6454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100167490A | Medicaid | KS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | russell.beamer.1@14930.direct.athenahealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | russell.beamer.1@14930.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 Commodore St
Suite B
Pratt, KS 67124-2995
Phone (620) 672-6454
200 Commodore St
Pratt, KS 67124-2903
Phone (620) 672-7451
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.83 of 100
- Quality
- 82.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 22 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 38 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0418698 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott County Hospital | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Current | Accepting new patients | |
| Scott County Hospital | Past | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients |
Locations
124 Commodore St
Pratt, KS 67124
124 Commodore St
Ste B
Pratt, KS 67124
Phone (620) 393-5661
200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476
201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9fb5a2bd-a55d-48eb-b83b-63c1c6fa3826/
- larry.beamer@khindirect.org
- russell.beamer.1@14930.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
-
- Critical Access Hospital
- Scott City, KS
- NPI 1144263443
-
dba PRMC Infusion and Wound Care Clinic
- Infusion Therapy Clinic/Center
- Pratt, KS
- NPI 1689246753
-
dba Ascension Via Christi Physician Group
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
-
- Critical Access Hospital
- Scott City, KS
- NPI 1144263443
-
- Critical Access Hospital
- Stafford, KS
- NPI 1295840999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1437156338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 N HILLSIDE ST STE 201",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144923",
"telephone_number": "316-263-0296",
"fax_number": "316-263-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N EMPORIA ST",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143729",
"telephone_number": "316-263-0296",
"fax_number": "316-263-9523"
}
],
"practiceLocations": [
{
"address_1": "200 Commodore St",
"address_purpose": "LOCATION",
"city": "Pratt",
"state": "KS",
"postal_code": "671242903",
"country_code": "US",
"telephone_number": "620-450-1186",
"fax_number": "620-450-1741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "124 Commodore St Ste B",
"address_purpose": "LOCATION",
"city": "Pratt",
"state": "KS",
"postal_code": "671242995",
"country_code": "US",
"telephone_number": "620-672-6454",
"fax_number": "620-672-3488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAMER",
"first_name": "RUSSELL",
"middle_name": "LARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "0418698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100167490A",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "russell.beamer.1@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "124 Commodore St Ste B",
"city": "Pratt",
"state": "KS",
"country_code": "US",
"postal_code": "671242995",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "russell.beamer.1@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 Commodore St",
"city": "Pratt",
"state": "KS",
"country_code": "US",
"postal_code": "671242903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.