NPIMap

Individual provider Active NPI

Joseph Herman Beaven, M.D.

  • Internal Medicine Physician
  • Charlestown, IN
National Provider Identifier
1619963105
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01032564A Issued in IN
Practice address
9431 County Road 403
Charlestown, IN 47111-8946
Phone
(812) 256-6391
Fax
(812) 256-6050
NPI assigned
Sep 21, 2005
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 01032564A IN
Internal Medicine Physician 207R00000X 01032564A IN Primary

Addresses

Primary practice location

9431 County Road 403
Charlestown, IN 47111-8946

Mailing address

9431 County Road 403
Charlestown, IN 47111-8946
Phone (812) 256-6391

Other identifiers 2

IdentifierTypeStateIssuer
100075890MedicaidIN
180443OtherINBLACK LUNG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040604000149 IN Practitioner - Internal MedicinePractitioner - Emergency Medicine 0244212082 Practice locations: Charlestown, IN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9431 County Rd
Suite 403
Charlestown, IN 47111-8946
Phone (812) 256-6391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.13 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
73.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Emergenc Y Group, LLC Emergency Medicine Past Accepting new patients
North Clark Medical Group LLC Past Accepting new patients
Indiana University Health Paoli Inc Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIDHCA/Endpoint/HIDHCA
  • Direct secure messaging: joseph.beaven@jhbm.eclinicaldirectplus.com

Organizations & group practices 5

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1619963105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 COUNTY ROAD 403",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118946",
            "telephone_number": "812-256-6391",
            "fax_number": "812-256-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 COUNTY ROAD 403",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118946",
            "telephone_number": "812-256-6391",
            "fax_number": "812-256-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVEN",
        "first_name": "JOSEPH",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01032564A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01032564A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100075890",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "180443",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, IN

Sources for this page

Verify at the official NPI Registry.