Active NPI
David L Beachy, D.O.
- Emergency Medicine Physician
- Paoli, IN
National Provider Identifier
1750369799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02000766
- Practice address
- 642 W Hospital Rd
Paoli, IN 47454-9672 - Phone
- (812) 723-7450
- NPI assigned
- Jan 9, 2006
- Last updated
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02000766 | IN | Primary |
Addresses
Primary practice location
642 W Hospital Rd
Paoli, IN 47454-9672
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 353-2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100475460A | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbeachy@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02000766 | IN | MD | Emergency Medicine Physician |
Interoperability endpoints
- dbeachy@direct.iuhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1750369799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329",
"telephone_number": "812-353-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 W HOSPITAL RD",
"city": "PAOLI",
"state": "IN",
"postal_code": "474549672",
"telephone_number": "812-723-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACHY",
"first_name": "DAVID",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02000766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100475460A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbeachy@direct.iuhealth.org",
"affiliation": "N",
"address_1": "642 W Hospital Rd",
"city": "Paoli",
"state": "IN",
"country_code": "US",
"postal_code": "474549672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paoli, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.