Individual provider Active NPI

Beth E Florini, MD

  • Family Medicine Physician
  • Bloomington, IN
National Provider Identifier
1457356446
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043727A Issued in IN
Practice address
600 N Eagleson Ave
Bloomington, IN 47405-3190
Phone
(812) 855-4055
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01043727A IN Primary

Addresses

Primary practice location

600 N Eagleson Ave
Bloomington, IN 47405-3190

Mailing address

600 N Eagleson Ave
Bloomington, IN 47405-3190
Phone (812) 855-4055

Other identifiers 1

IdentifierTypeStateIssuer
100369430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043727AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima, Inc. Family Medicine Current Accepting new patients
Premier Healthcare LLC Family Medicine Current Accepting new patients
Indiana University Past Accepting new patients

Locations

2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663

482 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-8474

550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688

3043 N Lintel Dr
Bloomington, IN 47404
Phone (812) 333-7622

1403 E Atwater Ave
Bloomington, IN 47401
Phone (812) 332-9396

Interoperability endpoints

  • Direct secure messaging: beth.florini@iushc.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1457356446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N EAGLESON AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053190",
            "telephone_number": "812-855-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N EAGLESON AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053190",
            "telephone_number": "812-855-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORINI",
        "first_name": "BETH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043727A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100369430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.