Individual provider Active NPI

Donald E. Beahm, M.D.

  • Ophthalmology Physician
  • Great Bend, KS
National Provider Identifier
1750357729
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-15025 Issued in KS
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

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100084190AMedicaidKS
001694OtherKSBLUE CROSS/ BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Great Bend, KS, CCN 170191

Merit-based Incentive Payment System (MIPS)

Final score
92.45 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery440
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-15025KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry K Popham, MD PC PastSince Aug 2, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dbeahm636957@direct.kuha.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.