Individual provider Active NPI

Diane E Begley, MD

  • Family Medicine Physician
  • Lafayette, IN
National Provider Identifier
1881662088
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01040055A Issued in IN
Practice address
200 Ferry St Ste B
Lafayette, IN 47901-1172
Phone
(765) 446-5161
Fax
(765) 446-5160
NPI assigned
Mar 14, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01040055A IN Primary

Addresses

Primary practice location

200 Ferry St Ste B
Lafayette, IN 47901-1172

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Other identifiers 4

IdentifierTypeStateIssuer
100464270MedicaidIN
10780247OtherINCAQH
000000304622OtherINANTHEM PROVIDER NUMBER
P00077639OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dianebegley@idx.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20230119000613 MN Practitioner - Family Practice 0648163618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1390 University Ave W
Saint Paul, MN 55104-4001
Phone (651) 232-4800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Care, LLC CurrentSince Nov 1, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 6, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 6, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Nes Indiana, Inc. Past Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Unity Urgent Care LLC Past Accepting new patients
Lafayette Emergency Care, P.C. Past Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

200 Ferry St
Ste B
Lafayette, IN 47901
Phone (765) 268-0183

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1881662088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FERRY ST STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011172",
            "telephone_number": "765-446-5161",
            "fax_number": "765-446-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGLEY",
        "first_name": "DIANE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01040055A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464270",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10780247",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000304622",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00077639",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dianebegley@idx.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "200 Ferry St Ste B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479011172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.