Individual provider Active NPI

Kenneth A Beckman, MD

  • Ophthalmology Physician
  • Westerville, OH
National Provider Identifier
1699731018
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35064674B Issued in OH
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

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0459212MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
35064674OHMDOphthalmology Physician
35064674BOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Eyecare of Central Oh, Inc Ophthalmology CurrentSince Jul 1, 2012 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.

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 8 clinicians

Practice addresses (Care Compare)

450 Alkyre Run
Suite 100
Westerville, OH 43082-6910
Phone (614) 890-5692

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery276

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

Verify at the official NPI Registry.