Individual provider Active NPI

Bart Donald Beaver, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lemont, IL
National Provider Identifier
1467468207
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004699 Issued in IL
Practice address
15531 127TH St
Lemont, IL 60439-8555
Phone
(630) 257-9000
Fax
(630) 257-9399
NPI assigned
Aug 1, 2006
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016004699 IL Primary

Addresses

Primary practice location

15531 127TH St
Lemont, IL 60439-8555

Mailing address

1660 Feehanville Dr Ste 450
Mt Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

16735 Oak Park Ave
Tinley Park, IL 60477-2715
Phone (847) 250-9096

Other practice location 2

8120 Georgia St Ste B
Merrillville, IN 46410-6391
Phone (847) 250-9096

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bdb@weil.emadirect.md Direct
Direct Messaging Address bdb@weil.emadirect.md Direct
Direct Messaging Address bdb@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040313000046 IL Practitioner - Podiatry 6800785205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15531 E 127TH St
Lemont, IL 60439-8555
Phone (847) 390-7666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.91 of 100Reported as individual
Quality
34.71
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue126
Removal of skin lesions118
Removal of nail tissue369
Removal or shaving of skin growth138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Orland Podiatry Center, LLC Foot & Ankle Surgery Past Accepting new patients
Beverly Podiatry Center, LLC Foot & Ankle Surgery Past Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients

Locations

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

Interoperability endpoints

  • Direct secure messaging: bdb@weil.emadirect.md

Organizations & group practices 6

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1467468207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15531 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398555",
            "telephone_number": "630-257-9000",
            "fax_number": "630-257-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16735 Oak Park Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604772715",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8120 Georgia St Ste B",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106391",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "BART",
        "middle_name": "DONALD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16735 Oak Park Ave",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604772715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8120 Georgia St Ste B",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464106391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15531 127th St",
            "city": "Lemont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604398555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.