Eric Wayne Beckley, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Indianapolis, IN
NPI 1710276936 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1710276936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 01078478A (IN)
- Practice address
- 2001 W 86TH St
Department of Medical Education
Indianapolis, IN 46260-1902 - Phone
- (317) 338-2281
- Fax
- (317) 338-6359
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Indiana University Radiology Associates Inc
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
601 W 2ND St
Iu Health Bloomington Hospital
Bloomington, IN 47403-2317
Phone (812) 353-9469
Hospital & facility affiliations
- Indiana University Health North Hospital
- Indiana University Health
- Eskenazi Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170509001174 | IN | Practitioner - Interventional Radiology |
3476790171 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
Interoperability endpoints
- ebeckley15359@direct.eskenazihealth.edu
- ebeckley@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01078478A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 01078478A | IN | Yes |
Addresses
Primary practice location
2001 W 86TH St
Department of Medical Education
Indianapolis, IN 46260-1902
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
601 W 2nd St
Bloomington, IN 47403-2317
Phone (812) 353-9469
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebeckley@direct.iuhealth.org | Direct |
Other providers in Indianapolis, IN
- Jaime R Becker
- Matthew J Becker
- Andreya Beckett
- Amanda Beckham
- Devin Ashleigh Beckham
- Kenneth Beckley
- Meggie A Beckley
- Andrew W Beckman
- Daniel J Beckman
- Genna Ann Beckman
All providers in Indianapolis, IN · Vascular & Interventional Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.