Individual provider Active NPI

Athena C Beis, MD

  • Internal Medicine Physician
  • Salem, OH
National Provider Identifier
1508961525
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35127557 Issued in OH
Practice address
1995 E State St
Salem, OH 44460-2423
Phone
(330) 332-7415
Fax
(330) 332-7703
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD417009 PA
Internal Medicine Physician 207R00000X 35127557 OH Primary

Addresses

Primary practice location

1995 E State St
Salem, OH 44460-2423

Mailing address

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7415

Other identifiers 2

IdentifierTypeStateIssuer
0158587MedicaidOH
0018849940001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Athena.Beis@salemregional.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041103000692 PA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 8426010224 Reassigns benefits to 1 organization
I20160225002373 OH Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 8426010224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

1995 E State St
Wound Healing Center
Salem, OH 44460-2423
Phone (330) 332-7415

Hospital & facility affiliations

  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185
  • East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue408
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35127557OHMDInternal Medicine Physician
MD417009PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC CurrentSince Apr 9, 2018 Accepting new patients
Vohra Post Acute Care Physicians of the Northeast PA CurrentSince Jan 15, 2018 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Apr 9, 2018 Accepting new patients
SCH Professional Corporation Internal Medicine CurrentSince Jan 3, 2022 Accepting new patients

Locations

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

1715 Indian Wood Cir
Maumee, OH 43537
Phone (513) 272-0600

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1508961525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-332-7415",
            "fax_number": "330-332-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-332-7415",
            "fax_number": "330-332-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIS",
        "first_name": "ATHENA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD417009",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35127557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158587",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018849940001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Athena.Beis@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "1995 E State St",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444602423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.