Active NPI
Mitchel Lee Beasley II, D.O.
- Family Medicine Physician
- Venice, FL
National Provider Identifier
1750645321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS12825
- Practice address
- 997 US Highway 41 Byp N
Suite 201
Venice, FL 34285-6046 - Phone
- (941) 952-4220
- Fax
- (941) 952-4222
- NPI assigned
- Jun 28, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | U03112 | FL | |
| Family Medicine Physician | 207Q00000X | OS12825 | FL | Primary |
Addresses
Primary practice location
997 US Highway 41 Byp N
Suite 201
Venice, FL 34285-6046
Mailing address
PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33181S | Other | FL | BCBS FLORIDA |
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
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746
997 US Hwy 41 Bypass N
Suite 201
Venice, FL 34285-6046
Phone (941) 952-4220
Hospital & facility affiliations
- Sarasota Memorial Homecare
- Trilogy Home Healthcare
- Amedisys Home Health
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12825 | FL | MD | Family Medicine Physician |
| U03112 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Family Medicine | Current | Accepting new patients |
| SMH Physician Services Inc | Past | Accepting new patients |
Locations
2345 Bobcat Village Center Rd
Unit 201
North Port, FL 34288
Phone (941) 379-6331
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
997 US Highway 41 Byp N
Ste 201
Venice, FL 34285
Phone (941) 852-4220
Interoperability endpoints
- mitchel.beasley@fpg.directbygreenway.com
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1346912805
-
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Venice, FL
- NPI 1992753768
-
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- Home Health Agency
- Sarasota, FL
- NPI 1073751780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1750645321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863407",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 US HIGHWAY 41 BYP N",
"address_2": "SUITE 201",
"city": "VENICE",
"state": "FL",
"postal_code": "342856046",
"telephone_number": "941-952-4220",
"fax_number": "941-952-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "MITCHEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "U03112",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS12825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FLORIDA",
"identifier": "33181S",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.