Individual provider Active NPI

John Paul Beaupied, DPM

  • Podiatrist
  • Palos Heights, IL
National Provider Identifier
1669587069
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004181 Issued in IL
Practice address
6420 W 127TH St
Suite 105
Palos Heights, IL 60463-2269
Phone
(708) 371-2310
Fax
(708) 371-9015
NPI assigned
Aug 19, 2006
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 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 016004181 IL Primary

Addresses

Primary practice location

6420 W 127TH St
Suite 105
Palos Heights, IL 60463-2269

Mailing address

6420 W 127TH St
Suite 105
Palos Heights, IL 60463-2297
Phone (708) 371-2310

Other identifiers 3

IdentifierTypeStateIssuer
480006720OtherILRAIL ROAD MEDICARE NUMBER
016004181MedicaidIL
60001612OtherILBLUE CROSS AND BLUE SHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000974 IL Practitioner - Podiatry 0941294458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6420 W 127TH St
Palos Heights, IL 60463-2269
Phone (708) 371-2310

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue892
Removal or shaving of skin growth760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John P Beaupied DPM LLC Podiatrist CurrentSince Jan 1, 2011 Accepting new patients

Locations

7850 W College Dr
Palos Heights, IL 60463
Phone (708) 361-6990

11860 Southwest Hwy
Palos Heights, IL 60463
Phone (630) 286-4000

6420 W 127th St
Ste 105
Palos Heights, IL 60463
Phone (708) 371-2310

6420 W 127th St
Palos Heights, IL 60463
Phone (708) 371-2310

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1669587069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST",
            "address_2": "SUITE 105",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632297",
            "telephone_number": "708-371-2310",
            "fax_number": "708-371-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST",
            "address_2": "SUITE 105",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632269",
            "telephone_number": "708-371-2310",
            "fax_number": "708-371-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUPIED",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE NUMBER",
            "identifier": "480006720",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004181",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "60001612",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.