NPIMap

Individual provider Active NPI

William F Beaman, MD

  • Internal Medicine Physician
  • Hazelwood, MO
National Provider Identifier
1619940392
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
102089 Issued in MO
Practice address
755 Dunn Rd
Suite 110
Hazelwood, MO 63042-1751
Phone
(314) 731-1113
NPI assigned
Feb 11, 2006
Last updated
Apr 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 102089 MO Primary

Addresses

Primary practice location

755 Dunn Rd
Suite 110
Hazelwood, MO 63042-1751

Mailing address

755 Dunn Rd
Suite 110
Hazelwood, MO 63042-1751
Phone (314) 731-1113

Other identifiers 1

IdentifierTypeStateIssuer
110171745OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000577 MO Practitioner - Internal Medicine 3375564578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Palliative Care LLCGroup PAC ID 0941373732, 11 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
6017B Mercy Clinic Palliative Care Medi
Saint Louis, MO 63141-8274
Phone (314) 251-7840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102089MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Palliative Care, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

607 S New Ballas Rd
Ste 3300
Saint Louis, MO 63141
Phone (314) 251-4400

621 S New Ballas Rd
Ste 6017B
Saint Louis, MO 63141
Phone (314) 251-4652

Interoperability endpoints

  • Direct secure messaging: wbeaman103@directc.mercy.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy HospiceSaint Louis, MO, CCN 261510 Hospice Other Oct 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 5

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": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1619940392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 DUNN RD",
            "address_2": "SUITE 110",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421751",
            "telephone_number": "314-731-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 DUNN RD",
            "address_2": "SUITE 110",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421751",
            "telephone_number": "314-731-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMAN",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "102089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110171745",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.