Individual provider Active NPI

Daren M. Beam, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1962638213
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2012-00764 Issued in NC
Practice address
720 Eskenazi Ave
Indianapolis, IN 46202-5166
Phone
(317) 630-7276
Fax
(317) 963-5492
NPI assigned
Jun 1, 2009
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 104060 GA
Emergency Medicine Physician 207P00000X 35.152518 OH
Emergency Medicine Physician 207P00000X 157552 NC
Emergency Medicine Physician 207P00000X 01071179A IN
Emergency Medicine Physician 207P00000X 2012-00764 NC Primary

Addresses

Primary practice location

720 Eskenazi Ave
Indianapolis, IN 46202-5166

Mailing address

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
201067850MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230425002687 NC Practitioner - Emergency Medicine 2466617394 Reassigns benefits to 1 organization
I20250312001451 OH Practitioner - Emergency Medicine 2466617394 Reassigns benefits to 1 organization
I20250827002900 WV Practitioner - Emergency Medicine 2466617394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sampson Regional Emergency Professional Services, LLCGroup PAC ID 6406119239, 6 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 592-8511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
75.66
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104060GAMDEmergency Medicine Physician
157552NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Aug 15, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Aug 15, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Sampson Regional Emergency Professional Services, LLC Emergency Medicine CurrentSince Apr 28, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

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 2

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1962638213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025166",
            "telephone_number": "317-630-7276",
            "fax_number": "317-963-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "DAREN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "104060",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.152518",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "157552",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01071179A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2012-00764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201067850",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.