Individual provider Active NPI

Denis J. Beiter, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1922036565
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3004119 Issued in KY
Practice address
3920 Dutchmans LN
Louisville, KY 40207-4702
Phone
(502) 259-6710
Fax
(502) 259-6704
NPI assigned
Jun 30, 2006
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002125A IN
Certified Registered Nurse Anesthetist 367500000X 3004119 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN
Louisville, KY 40207-4702

Mailing address

100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194
Phone (502) 690-8782

Other practice location 1

100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194
Phone (502) 690-8782

Other identifiers 2

IdentifierTypeStateIssuer
200531030MedicaidIN
74010778MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071029000484 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325938996 Reassigns benefits to 6 organizations
I20170526000402 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325938996 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
71002125AINMDNurse Practitioner
3004119KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 30, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 30, 2023 Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
North Clark Medical Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Midwest Anesthesia Services LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Vision Surgical Center at Springhill PSC CurrentSince Sep 1, 2022 Accepting new patients
Advanced ENT and Allergy PLLC Nurse Practitioner CurrentSince Apr 20, 2021 Accepting new patients
Providian Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Lec Ancillary PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2021 Accepting new patients
Louisville Endoscopy Center, PLLC PastSince Jan 11, 2021 Accepting new patients
Anesthesiology Associates PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients
Obstetric Anesthesia Consultants PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
One Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Sleep Ez Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Consultants of Columbia, PA Past Accepting new patients

Locations (25 of 43)

7752 Solution Ctr
Chicago, IL 60677

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

7145 E Virginia St
Ste 1000
Evansville, IN 47715
Phone (812) 476-6166

1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744

1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

2031 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (502) 447-5633

302 W 14th St
Ste 100B
Jeffersonvlle, IN 47130
Phone (502) 245-0305

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

6823 Highway 311
Sellersburg, IN 47172
Phone (812) 246-6362

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

3475 Blazer Pkwy
Lexington, KY 40509
Phone (859) 514-0260

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1922036565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 320",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-690-8782",
            "fax_number": "502-459-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-259-6710",
            "fax_number": "502-259-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mallard Creek Rd",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074194",
            "country_code": "US",
            "telephone_number": "502-690-8782",
            "fax_number": "502-459-0923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEITER",
        "first_name": "DENIS",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002125A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3004119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531030",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74010778",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.