Individual provider Active NPI

Robert E Beasley, MD

  • Vascular & Interventional Radiology Physician
  • Miami, FL
National Provider Identifier
1740289016
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME48730 Issued in FL
Practice address
4300 Alton Rd
De Hirsch Meyer Tower, Suite 1100
Miami, FL 33140-2800
Phone
(305) 674-2071
Fax
(305) 535-7983
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME48730 FL Primary

Addresses

Primary practice location

4300 Alton Rd
De Hirsch Meyer Tower, Suite 1100
Miami, FL 33140-2800

Mailing address

4300 Alton Rd
2ND Floor Ascher Building
Miami, FL 33140-2948
Phone (305) 674-2841

Other identifiers 1

IdentifierTypeStateIssuer
0528960100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050302000125 FL Practitioner - Diagnostic Radiology 8729974399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Vascular Center of Broward, LLCGroup PAC ID 6103055371, 4 clinicians
Palm Access LLCGroup PAC ID 0840487609, 5 clinicians

Practice addresses (Care Compare)

3109 Stirling Rd
Fort Lauderdale, FL 33312-6558
Phone (954) 315-2000

Merit-based Incentive Payment System (MIPS)

Final score
96.98 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
77.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal33
Leg revascularization (restoring blood flow)85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME48730FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Access, LLC CurrentSince Jan 1, 2021 Accepting new patients
Palm Vascular Center of Broward, LLC Vascular & Interventional Radiology CurrentSince May 1, 2024 Accepting new patients
Mount Sinai Medical Center Vascular & Interventional Radiology Past Accepting new patients
Pulmonary Physicians of South Florida LLC Past Accepting new patients
Mount Sinai Mental Health LLC Past Accepting new patients
Palm Primary Care, LLC Past Accepting new patients

Locations

3109 Stirling Rd
Ste 100
Ft Lauderdale, FL 33312
Phone (954) 315-2000

2601 SW 37th Ave
Ste 704
Miami, FL 33133
Phone (305) 448-8455

400 W 41st St
Ste 310
Miami Beach, FL 33140
Phone (305) 538-6986

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Florida Home Care, IncTampa, FL, CCN 687063 Home health agency 5% Or Greater Direct Ownership Interest (2.5%)
Corporate Officer (2.5%)
Apr 8, 2020
Jun 26, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1740289016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "2ND FLOOR ASCHER BUILDING",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2841",
            "fax_number": "305-535-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "DE HIRSCH MEYER TOWER, SUITE 1100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-2071",
            "fax_number": "305-535-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME48730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528960100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.