Aileen Jenna Beckham, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Raleigh, NC
NPI 1629414164 · NPPES record last updated Feb 15, 2021
Key facts
- NPI
- 1629414164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 191347 (NC)
- Practice address
- 3024 New Bern Ave Ste 309
Raleigh, NC 27610-1247 - Phone
- (919) 350-7884
- Fax
- (919) 350-8091
- NPI assigned
- May 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wakemed Specialists Group LLC
Practice addresses (Care Compare)
10010 Falls of Neuse Rd
Raleigh, NC 27614-8494
Phone (919) 766-8989
Hospital & facility affiliations
- Wakemed, Raleigh Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20170925002499 | NC | Practitioner - Obstetrics/Gynecology | 5496077471 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191347 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Single Specialty | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current |
Accepting new patients | |
| Wakemed Specialists Group, LLC | Current |
Accepting new patients |
Locations
204 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460
101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456
6102 Grace Park Dr
Morrisville, NC 27560
Phone (919) 235-6405
2920 Highwoods Blvd
Raleigh, NC 27604
23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953
3024 New Bern Ave
Ste 309
Raleigh, NC 27610
Phone (919) 350-7884
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
1030 Siena Dr
Wake Forest, NC 27587
Phone (919) 235-6511
Interoperability endpoints
- jbeckham143922@directhisp.wakemed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 191347 | NC | Yes |
Addresses
Primary practice location
3024 New Bern Ave Ste 309
Raleigh, NC 27610-1247
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490
Other practice location 1
23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 235-6559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629414164 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbeckham143922@directHISP.wakemed.org | Direct |
Other providers in Raleigh, NC
- Adam Michael Becker
- Ann Young Becker
- Denis I Becker
- Jeffrey Blake Becker Jr.
- Tonya Lynn Becker
- Keturah Y Beckham
- Rachel Georgia Beckham
- Molly Beckmann
- Alexandra Nicole Beckwith
- Lisa Donella Beckwith
All providers in Raleigh, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2021. 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.