Active NPI
Jerad Lee Beall, DO
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- U8952
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Jun 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 51983 | SC | |
| Anesthesiology Physician | 207L00000X | U8952 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
169 Ashley Avenue
Room 202 Main Hospital MSC333
Charleston, SC 29425
Phone (843) 792-4316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240712001502 | TX | Practitioner - Anesthesiology | 4789929191 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 W College St
Greater Houston Anesthesiology
Grapevine, TX 76051-3565
Phone (817) 329-2639
Hospital & facility affiliations
- Baylor Scott & White Medical Center at Irving
- Baylor Scott & White Medical Center Grapevine
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U8952 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Anesthesiology | Current | Accepting new patients |
| Atlantic Coast Anesthesia Services P.C. | Anesthesiology | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Anesthesiology | Current | Accepting new patients |
Locations
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523
1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Anesthesiology, TX
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Anesthesiology
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Anesthesiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1437643145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Avenue",
"address_2": "Room 202 Main Hospital MSC333",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29425",
"country_code": "US",
"telephone_number": "843-792-4316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEALL",
"first_name": "JERAD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-15",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "51983",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "U8952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.