Individual provider Active NPI

Michael Edward Beane, MD

  • Family Medicine Physician
  • Vienna, WV
National Provider Identifier
1669471561
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19118 Issued in WV
Practice address
1500 Grand Central Ave
Vienna, WV 26105-1079
Phone
(304) 485-3627
Fax
(304) 295-2315
NPI assigned
Jul 21, 2005
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19118 WV Primary
Family Medicine Physician 207Q00000X 35073683 OH

Addresses

Primary practice location

1500 Grand Central Ave
Vienna, WV 26105-1079

Mailing address

2 Merrywood LN
Vienna, WV 26105-9488

Other identifiers 1

IdentifierTypeStateIssuer
0048235000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060627000011 WV Practitioner - Family Practice 8224040779 Reassigns benefits to 2 organizations
I20130826000747 VA Practitioner - Family PracticePractitioner - Emergency Medicine 8224040779 Reassigns benefits to 1 organization
I20220930002474 OH Practitioner - Family Practice 8224040779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spero Health of West Virginia LLCGroup PAC ID 1153705983, 4 clinicians
Spero Health of Ohio, LLCGroup PAC ID 4486030376, 20 clinicians

Practice addresses (Care Compare)

2 Fergueson Dr
Parkersburg, WV 26101-6678
Phone (304) 949-8536

418 Colegate Dr
Marietta, OH 45750-9549
Phone (740) 374-8730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073683OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jun 28, 2013 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jun 28, 2013 Accepting new patients
Spero Health of Ohio, LLC CurrentSince May 20, 2022 Accepting new patients
Spero Health of West Virginia, LLC CurrentSince May 17, 2022 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827

418 Colegate Dr
Marietta, OH 45750
Phone (740) 236-9047

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

95 Rosebud Plz
Ste 104
Clarksburg, WV 26301
Phone (304) 212-7482

2 Fergueson Dr
Parkersburg, WV 26101
Phone (304) 949-8536

Interoperability endpoints

  • Direct secure messaging: mbeane20594@gohealthupmc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1669471561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERRYWOOD LN",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261059488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-485-3627",
            "fax_number": "304-295-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19118",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048235000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.