Active NPI
Donald E. Beahm, M.D.
- Ophthalmology Physician
- Great Bend, KS
National Provider Identifier
1750357729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 04-15025
- Practice address
- 3923 Broadway Ave
Great Bend, KS 67530 - Phone
- (620) 792-3626
- Fax
- (620) 792-1469
- NPI assigned
- Feb 28, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 04-15025 | KS | Primary |
Addresses
Primary practice location
3923 Broadway Ave
Great Bend, KS 67530
Mailing address
3923 Broadway Ave
Great Bend, KS 67530-3598
Phone (620) 792-3626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100084190A | Medicaid | KS | |
| 001694 | Other | KS | BLUE CROSS/ BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000542 | KS | Practitioner - Ophthalmology | 5092627232 | Practice locations: Great Bend, KS |
| O20100930083520 | KS | DME Supplier - Physician - Ophthalmology | 1557488731 | Practice locations: Great Bend, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3923 Broadway Ave
Great Bend, KS 67530-3598
Phone (620) 792-3626
Hospital & facility affiliations
- University of KS HLTH System Great Bend Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.45 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 440 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-15025 | KS | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerry K Popham, MD PC | Past | Accepting new patients |
Interoperability endpoints
- dbeahm636957@direct.kuha.org
- donald.beahm@khindirect.org
Organizations & group practices 1
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.
-
- Specialist
- Denver, CO
- NPI 1225162134
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": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1750357729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 BROADWAY AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303598",
"telephone_number": "620-792-3626",
"fax_number": "620-792-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3923 BROADWAY AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "67530",
"telephone_number": "620-792-3626",
"fax_number": "620-792-1469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAHM",
"first_name": "DONALD",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "04-15025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100084190A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "001694",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.