Active NPI
Robert E Beasley, MD
- Vascular & Interventional Radiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME48730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0528960100 | Medicaid | FL |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 77.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 33 |
| Leg revascularization (restoring blood flow) | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME48730 | FL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Access, LLC | Current | Accepting new patients | |
| Palm Vascular Center of Broward, LLC | Vascular & Interventional Radiology | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Southwest Florida Home Care, Inc | 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.
-
- Home Health Agency
- Tampa, FL
- NPI 1962051953
5% Or Greater Direct Ownership Interest, Corporate Officer
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.
-
- Vascular Surgery Physician
- Coral Gables, FL
- NPI 1871806539
-
- Vascular & Interventional Radiology Physician
- Fort Lauderdale, FL
- NPI 1588098669
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1639278179
Vascular & Interventional Radiology
-
- Psychologist
- Miami Beach, FL
- NPI 1013406271
-
- General Practice Physician
- Hialeah, FL
- NPI 1063841740
-
- Pulmonary Disease Physician
- Miami, FL
- NPI 1902892060
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.