NPIMap

Individual provider Active NPI

Reid Daniel Beattie, PA-C

  • Surgical Physician Assistant
  • New Hartford, NY
National Provider Identifier
1851997548
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
026020 Issued in NY
Practice address
83 Genesee St
New Hartford, NY 13413-2472
Phone
(315) 792-7629
NPI assigned
Dec 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 026020 NY Primary

Addresses

Primary practice location

83 Genesee St
New Hartford, NY 13413-2472

Mailing address

PO Box 673
New Hartford, NY 13413-0673
Phone (315) 792-7629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drqandah@cnybrainandspine.medent.com Direct Central New York Brain & Spine NeuroSurgery PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001672 NY Practitioner - Physician Assistant 6204249949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of Ny Upstate Medical University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central New York Brain and Spine Neurosurgery PLLC 11 clinicians

Practice addresses (Care Compare)

107 E Chestnut St
Suite 105
Rome, NY 13440-2834
Phone (315) 792-7629

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

83 Genesee St
New Hartford, NY 13413-2472
Phone (315) 792-7629

Hospital & facility affiliations

  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
67.04
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026020NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Past Accepting new patients

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 9

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1851997548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130673",
            "telephone_number": "315-792-7629",
            "fax_number": "315-792-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132472",
            "telephone_number": "315-792-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "REID",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "026020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drqandah@cnybrainandspine.medent.com",
            "affiliation": "Y",
            "affiliationName": "Central New York Brain & Spine NeuroSurgery PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "83 Genesee St",
            "city": "New Hartford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134132472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.