Samuel Mackay Beard, MD
Individual provider Active NPI Emergency Medicine Physician · Indianapolis, IN
NPI 1811301138 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1811301138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01075619A (IN)
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 962-3886
- Fax
- (317) 963-5492
- NPI assigned
- Jun 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Associates
Practice addresses (Care Compare)
1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone (317) 355-5041
Hospital & facility affiliations
- Community Hospital East
- Community Hospital North
- Community Hospital South, Inc.
- Community Howard Regional Health Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.51 of 100
- Quality
- 95.35
- Improvement activities
- 40
- Cost
- 78.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150730011480 | IN | Practitioner - Emergency Medicine | 4284859307 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075619A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current |
Accepting new patients | |
| Medical Associates | Emergency Medicine | Current |
Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- sbeard53136@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01075619A | IN | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11017578A | IN |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Suite 130 - Provider Enrollment
Indianapolis, IN 46219-4959
Phone (317) 962-3886
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201233330 | Medicaid | IN |
Other providers in Indianapolis, IN
- Kate Beard
- Kiya Beard
- Myra Belinda Beard
- Pamela Beard
- Rita Beard
- Taylor Beard
- Christopher M Bearden
- Marcy Bearden
- Julio Renato Beas Nino de Guzman
- Caitlin A Beasley
All providers in Indianapolis, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.