Individual provider Active NPI

Jeffrey Paul Beeley, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Safford, AZ
National Provider Identifier
1811935703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
23496 Issued in AZ
Practice address
1600 S 20TH Ave
Safford, AZ 85546-4011
Phone
(928) 348-4177
NPI assigned
Jun 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 23496 AZ Primary

Addresses

Primary practice location

1600 S 20TH Ave
Safford, AZ 85546-4011

Mailing address

250 E Silverwood LN
Benson, AZ 85602-6833
Phone (520) 586-8695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110110000465 AZ Practitioner - Emergency Medicine 9638159502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Health ResourcesGroup PAC ID 1254327216, 28 clinicians

Practice addresses (Care Compare)

401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Graham Regional Medical Center Inc CurrentSince May 22, 2017 Accepting new patients
Gila Health Resources Emergency Medical Services CurrentSince Jun 15, 2019 Accepting new patients

Locations

401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

Interoperability endpoints

  • Direct secure messaging: jeffrey.beeley.1@33093.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811935703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E SILVERWOOD LN",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026833",
            "telephone_number": "520-586-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-348-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELEY",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "23496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.