Individual provider Active NPI

Anthony John Beisler IV, M.D.

  • Surgery Physician
  • Bellefontaine, OH
National Provider Identifier
1740366392
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0584084 Issued in OH
Practice address
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone
(937) 292-7354
Fax
(937) 292-7528
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0584084 OH Primary

Addresses

Primary practice location

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042

Mailing address

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 292-7354

Other identifiers 1

IdentifierTypeStateIssuer
2598041MedicaidOH

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
I20051017000839 OH Practitioner - General Surgery 8527084888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0584084OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Apr 1, 2009 Accepting new patients
Mary Rutan Hospital CurrentSince Apr 1, 2009 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Mary Rutan Hospital Surgery Past Accepting new patients

Locations

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 592-9221

2160 Ewing Crawfis Cir
Ste B
Bellefontaine, OH 43311

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

911 S Main St
Kenton, OH 43326
Phone (937) 404-9751

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

Interoperability endpoints

  • Direct secure messaging: anthony.beisler@maryrutan.medicity.net

Organizations & group practices 7

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1740366392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-292-7354",
            "fax_number": "937-292-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-292-7354",
            "fax_number": "937-292-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISLER",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "0584084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.