Individual provider Active NPI

James Beitzel, MD

  • Family Medicine Physician
  • Columbia City, IN
National Provider Identifier
1912901851
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01061931A Issued in IN
Practice address
1270 E State Road 205
Suite 210
Columbia City, IN 46725-9499
Phone
(260) 248-9230
Fax
(260) 248-9249
NPI assigned
Jun 9, 2005
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01061931A IN Primary
Internal Medicine Physician 207R00000X MD034166E PA

Addresses

Primary practice location

1270 E State Road 205
Suite 210
Columbia City, IN 46725-9499

Mailing address

11109 Parkview Plaza Dr Ste 3
Fort Wayne, IN 46845-1701
Phone (260) 266-6013

Other identifiers 10

IdentifierTypeStateIssuer
000000513051OtherINANTHEM
21412OtherINPHP
3937240002OtherINMEDICARE DMEPOS
001083302MedicaidPA
P00465455OtherINRAILROAD MEDICARE
000000570559OtherINANTHEM
1194655OtherINCIGNA
200855470MedicaidIN
351972384027OtherINTRICARE
4239333OtherINAETNA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jbeitzel5565@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070529000182 IN Practitioner - Internal Medicine 0244247450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061931AINMDFamily Medicine Physician
MD034166EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Conemaugh Health Initiatives Family Medicine Past Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Family Medicine Past Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1270 E State Road 205
Ste 210
Columbia City, IN 46725
Phone (260) 248-9230

885 W Connexion Way
Columbia City, IN 46725
Phone (260) 248-9260

885 W Connexion Way
Ste 300
Columbia City, IN 46725
Phone (219) 248-9230

11109 Parkview Plaza Dr
Ste 3
Fort Wayne, IN 46845

1234 E DuPont Rd
Ste 3
Fort Wayne, IN 46825
Phone (260) 373-9965

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

5110 N Clinton St
#7
Fort Wayne, IN 46825
Phone (260) 484-8545

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

Interoperability endpoints

  • Direct secure messaging: jbeitzel5565@direct.parkviewexchange.com

Organizations & group practices 5

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 11

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1912901851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR STE 3",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-266-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E STATE ROAD 205",
            "address_2": "SUITE 210",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467259499",
            "telephone_number": "260-248-9230",
            "fax_number": "260-248-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITZEL",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061931A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034166E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000513051",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "21412",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "3937240002",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001083302",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00465455",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000570559",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1194655",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200855470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "351972384027",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4239333",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbeitzel5565@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "1270 E State Road 205",
            "address_2": "Suite 210",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467259499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1270 E State Road 205",
            "address_2": "Suite 210",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467259499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1270 E State Road 205",
            "address_2": "Suite 210",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467259499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

Verify at the official NPI Registry.