Individual provider Active NPI

Mindi Suzanne Thompson Beahm, MD

  • Surgery Physician
  • Independence, MO
National Provider Identifier
1669663571
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2012037224 Issued in MO
Practice address
19550 E 39TH St S
Suite 325 Centerpoint Med BLDG
Independence, MO 64057-2358
Phone
(816) 373-4646
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-35608 KS
Surgery Physician 208600000X 2012037224 MO Primary

Addresses

Primary practice location

19550 E 39TH St S
Suite 325 Centerpoint Med BLDG
Independence, MO 64057-2358

Mailing address

19550 E 39TH St S
Suite 325 Centerpoint Med BLDG
Independence, MO 64057-2358

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mindibeahm@isc.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121022000494 KS Practitioner - General Surgery 3870743123 Reassigns benefits to 1 organization
I20130211000053 MO Practitioner - General Surgery 3870743123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Oncology Associates LLCGroup PAC ID 3779635172, 22 clinicians
Independence Surgical Clinic, Inc.Group PAC ID 3476587486, 2 clinicians

Practice addresses (Care Compare)

12140 Nall Ave
Suite 210
Overland Park, KS 66209-2503
Phone (913) 906-9364

19550 E 39TH St S
Suite 325
Independence, MO 64057-2310
Phone (816) 373-4646

3889 S Jackson Dr
Independence, MO 64057-1927
Phone (816) 698-8290

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy61
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-35608KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Oncology Associates LLC CurrentSince Nov 5, 2021 Accepting new patients

Locations

10600 Quivira Rd
Ste 460
Overland Park, KS 66215
Phone (913) 227-0565

12140 Nall Ave
Ste 200
Overland Park, KS 66209
Phone (913) 498-7409

19550 E 39th St S
Ste 105
Independence, MO 64057
Phone (816) 224-8999

19550 E 39th St S
Ste 325
Independence, MO 64057
Phone (816) 373-4646

3889 S Jackson Dr
Independence, MO 64057
Phone (816) 698-8290

2000 SE Blue Pkwy
Ste 240
Lees Summit, MO 64063
Phone (816) 282-5821

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: mindi.thompsonbeahm@hca2.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1669663571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 325 CENTERPOINT MED BLDG",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 325 CENTERPOINT MED BLDG",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-373-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAHM",
        "first_name": "MINDI",
        "middle_name": "SUZANNE THOMPSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-35608",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2012037224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mindibeahm@isc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "19550 E 39th St S",
            "address_2": "Suite 325 Centerpoint Med Bldg",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.