Richard Blaine Beaven, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Lakeside Park, KY
NPI 1538104666 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1538104666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 35061 (KY)
- Practice address
- 2156 Chamber Center Dr
Lakeside Park, KY 41017-1669 - Phone
- (859) 282-6700
- Fax
- (859) 282-6760
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Louisville School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trihealth H LLC
Practice addresses (Care Compare)
2156 Chamber Ctr Dr
Lakeside Park, KY 41017-1669
Phone (859) 282-6700
525 Tucker Dr
Maysville, KY 41056-9182
Phone (513) 865-9898
Hospital & facility affiliations
- Bethesda North
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KY, OH, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000831 | KY | Practitioner - Obstetrics/Gynecology | 5092713073 | Reassigns benefits to 2 organizations |
| I20150310002204 | OH | Practitioner - Obstetrics/Gynecology | 5092713073 | Reassigns benefits to 1 organization |
| I20250624000366 | IN | Practitioner - Obstetrics/Gynecology | 5092713073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35061 | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Hills OB-GYN Associates LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Trihealth H LLC | Current |
Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients |
Locations
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600
8051 S Emerson Ave
Ste 425
Indianapolis, IN 46237
Phone (317) 865-3600
1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454
2156 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 282-6700
525 Tucker Dr
Maysville, KY 41056
Phone (606) 759-0002
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
Interoperability endpoints
- rbeaven457697@direct.trihealth.com
- richard.beaven@axia.eclinicaldirectplus.com
- rbeaven@shwhc.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35061 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 35061 | KY | Yes |
Addresses
Primary practice location
2156 Chamber Center Dr
Lakeside Park, KY 41017-1669
Mailing address
2156 Chamber Center Dr
Lakeside Park, KY 41017-1669
Phone (859) 282-6700
Other practice location 1
6903 Burlington Pike
Florence, KY 41042-1618
Phone (859) 282-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64061971 | Medicaid | KY |
Other providers in Lakeside Park, KY
- Natalie S. Adams
- Joshua M Benge
- Bryan Fallis
- Concinnity Medical Devices, Inc
- Aarielle Cooley
- Ellen Yass-Reed, M.a. PLLC
All providers in Lakeside Park, KY · Obstetrics & Gynecology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.