Individual provider Active NPI

Russell Larry Beamer, MD

  • Surgery Physician
  • Wichita, KS
National Provider Identifier
1437156338
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0418698 Issued in KS
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100167490AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000400 KS Practitioner - OtolaryngologyPractitioner - General Surgery 4789625211 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
82.73
Promoting interoperability
100
Improvement activities
40
Cost
83.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Upper gastrointestinal (GI) endoscopy for acid reflux38
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0418698KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Hospital Current Accepting new patients
Pratt Regional Medical Center Corporation CurrentSince May 1, 2019 Accepting new patients
Pratt Regional Medical Center Corporation CurrentSince May 1, 2019 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9fb5a2bd-a55d-48eb-b83b-63c1c6fa3826/
  • Direct secure messaging: larry.beamer@khindirect.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.