Active NPI
Kenneth A Beckman, MD
- Ophthalmology Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35064674B
- Practice address
- 450 Alkyre Run
Suite 100
Westerville, OH 43082-6909 - Phone
- (614) 890-5692
- Fax
- (614) 890-5629
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35064674B | OH | Primary |
| Ophthalmology Physician | 207W00000X | 35064674 | OH |
Addresses
Primary practice location
450 Alkyre Run
Suite 100
Westerville, OH 43082-6909
Mailing address
450 Alkyre Run
Suite 100
Westerville, OH 43082-6909
Phone (614) 890-5692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0459212 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050620001027 | OH | Practitioner - Ophthalmology | 9436139417 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35064674 | OH | MD | Ophthalmology Physician |
| 35064674B | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Eyecare of Central Oh, Inc | Ophthalmology | Current | Accepting new patients |
| Columbus Ophthalmology Associates LLC | Ophthalmology | Past | Accepting new patients |
Locations
5965 E Broad St
Ste 480
Columbus, OH 43213
Phone (614) 751-4070
5965 E Broad St
Ste 460
Columbus, OH 43213
Phone (614) 751-4080
885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991
450 Alkyre Run
Ste 100
Westerville, OH 43082
Phone (614) 890-5692
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.
-
- Ophthalmology Physician
- Westerville, OH
- NPI 1144372996
OH, Ophthalmology
-
- Ophthalmology Physician
- Dublin, OH
- NPI 1508990573
Ophthalmology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Eyecare of Central Oh, Inc
Practice addresses (Care Compare)
450 Alkyre Run
Suite 100
Westerville, OH 43082-6910
Phone (614) 890-5692
Hospital & facility affiliations
- Mount Carmel East & West
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.2 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 70.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 276 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1699731018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ALKYRE RUN",
"address_2": "SUITE 100",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430826909",
"telephone_number": "614-890-5692",
"fax_number": "614-890-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ALKYRE RUN",
"address_2": "SUITE 100",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430826909",
"telephone_number": "614-890-5692",
"fax_number": "614-890-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35064674B",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35064674",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0459212",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.