Active NPI
Michael Edgar Beall, MD
- Urology Physician
- Fairfax, VA
National Provider Identifier
1467444505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101025095
- Practice address
- 8503 Arlington Blvd
#310
Fairfax, VA 22031-4628 - Phone
- (703) 208-4200
- Fax
- (703) 876-1799
- NPI assigned
- Aug 16, 2005
- Last updated
- Feb 21, 2008
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101025095 | VA | Primary |
Addresses
Primary practice location
8503 Arlington Blvd
#310
Fairfax, VA 22031-4628
Mailing address
8503 Arlington Blvd
#310
Fairfax, VA 22031-4628
Phone (703) 208-4200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502646 | Other | NCPPS | |
| 192391 | Other | ANTHEM FAIR OAKS | |
| N1900013 | Other | CAREFIRST BCBS | |
| 1224139 | Other | AETNA HMO | |
| 188959 | Other | ANTHEM PROSPERITY | |
| 4091325 | Other | AETNA PPO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1467444505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8503 ARLINGTON BLVD",
"address_2": "#310",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314628",
"telephone_number": "703-208-4200",
"fax_number": "703-876-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8503 ARLINGTON BLVD",
"address_2": "#310",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314628",
"telephone_number": "703-208-4200",
"fax_number": "703-876-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALL",
"first_name": "MICHAEL",
"middle_name": "EDGAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101025095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPS",
"identifier": "502646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FAIR OAKS",
"identifier": "192391",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "N1900013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1224139",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROSPERITY",
"identifier": "188959",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4091325",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.