Individual provider Active NPI

Steven Walter Beevers, DPM

  • Podiatrist
  • Cedar Rapids, IA
National Provider Identifier
1639135122
Registry record updated Dec 13, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Sep 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00563 Issued in IA
Practice address
3053 Center Point Rd NE
Suite B
Cedar Rapids, IA 52402-4049
Phone
(319) 365-6973
Fax
(319) 365-6974
NPI assigned
Apr 24, 2006
Last updated
Dec 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00563 IA Primary

Addresses

Primary practice location

3053 Center Point Rd NE
Suite B
Cedar Rapids, IA 52402-4049

Mailing address

1219 Northfield Dr NE
Cedar Rapids, IA 52402-7404
Phone (319) 378-8933

Other identifiers 1

IdentifierTypeStateIssuer
0433086MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
00563IAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1639135122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 NORTHFIELD DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027404",
            "telephone_number": "319-378-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 CENTER POINT RD NE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024049",
            "telephone_number": "319-365-6973",
            "fax_number": "319-365-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEVERS",
        "first_name": "STEVEN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433086",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.