John M Beerbower, M.D.
Individual provider Active NPI Family Medicine Physician · Indianapolis, IN
NPI 1891832846 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1891832846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11013191A (IN)
- Practice address
- 10421 E County Road 100 N
Indianapolis, IN 46234-1243 - Phone
- (317) 272-7013
- Fax
- (317) 272-7007
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Health Network of Indiana LLC
Practice addresses (Care Compare)
10421 E County Rd 100
Indianapolis, IN 46234-1243
Phone (317) 272-7013
10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928
8607 E US Hwy 36
Avon, IN 46123-7960
Hospital & facility affiliations
- Indiana University Health
- Iu Health West Hospital
- Hendricks Regional Health
- Franciscan Health Mooresville
- Ascension St Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 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 |
|---|---|---|---|---|
| I20071115000326 | IN | Practitioner - Family Practice |
0840388450 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013191A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Family Medicine | Current |
Accepting new patients |
| American Health Network of Indiana LLC | Current |
Accepting new patients | |
| American Health Network of Indiana, LLC | Family Medicine | Past | Accepting new patients |
| Emergency Physicians of Indianapolis, PC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1115 Ronald Reagan Pkwy
Ste 100
Avon, IN 46123
Phone (317) 272-7013
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
8607 E US Highway 36
Ste 100
Avon, IN 46123
Phone (317) 208-3855
10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
4850 Century Plaza Rd
Ste 180
Indianapolis, IN 46254
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
10421 E County Road 100 N
Indianapolis, IN 46234
Phone (317) 272-7013
1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148
Interoperability endpoints
- jbeerbower211116@direct.optum.com
- john.beerbowermd.p2@direct.ahni.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11013191A | IN | Yes |
Addresses
Primary practice location
10421 E County Road 100 N
Indianapolis, IN 46234-1243
Mailing address
10421 E County Road 100 N
Indianapolis, IN 46234-1243
Phone (317) 272-7013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200866710 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.beerbowermd.p2@direct.ahni.nextgenshare.com | Direct |
NPI Registry JSON
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1891832846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10421 E COUNTY ROAD 100 N",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341243",
"telephone_number": "317-272-7013",
"fax_number": "317-272-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10421 E COUNTY ROAD 100 N",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341243",
"telephone_number": "317-272-7013",
"fax_number": "317-272-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEERBOWER",
"first_name": "JOHN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11013191A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200866710",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.beerbowermd.p2@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "10421 E County Road 100 N",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462341243",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
- Julie M. Beeman
- McKenna Beemiller
- Ann Beer
- Meghan Leslie Beer
- Tracy Beer
- Amanda Radpour Beering
- Elizabeth Beers
- Korissa Marie Beers
- Rachel Renee Beery-Mathews
- Dawn Marie Beery
All providers in Indianapolis, IN · Family 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 Mar 19, 2021. 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.