Individual provider Active NPI

Emily Anne Van Beveren, M.D.

  • Emergency Medicine Physician
  • Albany, NY
National Provider Identifier
1518036953
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.138366 Issued in OH
Practice address
47 New Scotland Ave
MC 139
Albany, NY 12208-3412
Phone
(617) 732-6955
NPI assigned
Nov 8, 2006
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 263465-1 NY
Emergency Medicine Physician 207P00000X 35.138366 OH Primary

Addresses

Primary practice location

47 New Scotland Ave
MC 139
Albany, NY 12208-3412

Mailing address

3 Farnsworth Dr
Apt #2
Slingerlands, NY 12159-9771
Phone (617) 435-4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20140522002031 TX Practitioner - Emergency Medicine 3274790803 Reassigns benefits to 2 organizations
I20200407002075 OH Practitioner - Emergency Medicine 3274790803 Reassigns benefits to 2 organizations
Practice locations: Mansfield, OH

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 369-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
84.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263465-1NYMDEmergency Medicine Physician
35.138366OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince May 13, 2014 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 13, 2014 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Nov 14, 2015 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Dec 6, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Code 3 Emergency Physicians, PA Emergency Medicine PastSince Aug 8, 2017 Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

Organizations & group practices 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1518036953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARNSWORTH DR",
            "address_2": "APT #2",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599771",
            "telephone_number": "617-435-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "MC 139",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "617-732-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BEVEREN",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "263465-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.138366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.