Individual provider Active NPI

Peter Bealka, M.D.

  • Ophthalmology Physician
  • Gatesville, TX
National Provider Identifier
1790133775
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S6357 Issued in TX
Practice address
2406 S. Business Highway 36
Gatesville, TX 76528
Phone
(254) 865-4267
Fax
(254) 865-8293
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 S6357 TX Primary

Addresses

Primary practice location

2406 S. Business Highway 36
Gatesville, TX 76528

Mailing address

2406 S. Business Highway 36
Gatesville, TX 76528
Phone (254) 865-4267

Other practice location 1

601 East 15th Street, CEC 2.433
UT Austin Dell Medical School Transitional Program
Austin, TX 78701-1930
Phone (512) 324-9999 ext. 87149

Other practice location 2

1400 E Franklin St
Hillsboro, TX 76645-2676
Phone (254) 582-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200527003163 TX Practitioner - Ophthalmology 0648562116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil M Bealka Jr MD PAGroup PAC ID 9133191497, 2 clinicians

Practice addresses (Care Compare)

2406 S Business Hwy 36
Gatesville, TX 76528
Phone (254) 865-4267

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neil M. Bealka Jr.,M.D. PA Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
Neil M Bealka Jr MD PA Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients

Locations

2406 S State Highway 36
Gatesville, TX 76528

1400 E Franklin St
Hillsboro, TX 76645
Phone (254) 582-0282

Organizations & group practices 2

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1790133775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S. BUSINESS HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "76528",
            "telephone_number": "254-865-4267",
            "fax_number": "254-865-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S. BUSINESS HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "76528",
            "telephone_number": "254-865-4267",
            "fax_number": "254-865-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 East 15th Street, CEC 2.433",
            "address_2": "UT Austin Dell Medical School Transitional Program",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011930",
            "country_code": "US",
            "telephone_number": "512-324-9999 x87149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "TX",
            "postal_code": "766452676",
            "country_code": "US",
            "telephone_number": "254-582-0282",
            "fax_number": "254-582-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALKA",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.