Individual provider Active NPI

Gregory Robert Beyer, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1477514297
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27853 Issued in NE
Practice address
14301 FNB Pkwy
Ste 100
Omaha, NE 68154-7200
Phone
(402) 758-5233
Fax
(888) 972-1672
NPI assigned
Mar 31, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.205960 LA
Diagnostic Radiology Physician 2085R0202X 9548A WY
Diagnostic Radiology Physician 2085R0202X P6142 TX
Diagnostic Radiology Physician 2085R0202X 0101246268 VA
Diagnostic Radiology Physician 2085R0202X 33279 SC
Diagnostic Radiology Physician 2085R0202X 27853 NE Primary
Diagnostic Radiology Physician 2085R0202X 2010-00805 NC
Diagnostic Radiology Physician 2085R0202X 53606 CO

Addresses

Primary practice location

14301 FNB Pkwy
Ste 100
Omaha, NE 68154-7200

Mailing address

14301 FNB Pkwy
Ste 100
Omaha, NE 68154-7200
Phone (402) 758-5233

Other identifiers 1

IdentifierTypeStateIssuer
10025173601MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140724001663 CO Practitioner - Diagnostic Radiology 0547277030
I20170522002578 NE Practitioner - Diagnostic Radiology 0547277030 Reassigns benefits to 2 organizations
I20171129000595 IA Practitioner - Diagnostic Radiology 0547277030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5890

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53606COMDDiagnostic Radiology Physician
33279SCMDDiagnostic Radiology Physician
9548AWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Think Aksarben, LLC CurrentSince Dec 15, 2021 Accepting new patients
Paradigm Health System Past Accepting new patients
Fountain City Medical Clinic Inc Past Accepting new patients
Riverwood Emergency Services Inc. Past Accepting new patients
Beaumont MRI Inc Diagnostic Radiology PastSince Sep 23, 2002 Accepting new patients
Innovative Radiology PA Diagnostic Radiology PastSince Sep 11, 2013 Accepting new patients
White River Imaging, LLC Diagnostic Radiology Past Accepting new patients
Pro Rad, Inc Diagnostic Radiology Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191

Organizations & group practices 9

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 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1477514297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-758-5233",
            "fax_number": "888-972-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-758-5233",
            "fax_number": "888-972-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.205960",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "9548A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P6142",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101246268",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "33279",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "27853",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2010-00805",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "53606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025173601",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.