NPIMap

Individual provider Active NPI

Douglas P Beall, MD

  • Diagnostic Radiology Physician
  • Edmond, OK
National Provider Identifier
1992757181
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19054 Issued in OK
Practice address
1023 Waterwood Pkwy
Edmond, OK 73034-5324
Phone
(405) 601-2325
Fax
(405) 497-6074
NPI assigned
May 16, 2006
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19054 OK Primary
Vascular & Interventional Radiology Physician 2085R0204X 19054 OK
Interventional Pain Medicine Physician 208VP0014X 19054 OK

Addresses

Primary practice location

1023 Waterwood Pkwy
Edmond, OK 73034-5324

Mailing address

PO Box 1390
Oklahoma City, OK 73101-1390
Phone (405) 601-2325

Other identifiers 1

IdentifierTypeStateIssuer
200005010AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000259 OK Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain Management 2769419605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Pain Management
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1023 Waterwood Pkwy
Edmond, OK 73034-5324
Phone (405) 601-2325

2230 N Perkins Rd
Stillwater, OK 74075-3076
Phone (405) 780-9919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19054OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TPG Hospital LLC Diagnostic Radiology CurrentSince Aug 1, 2004 Accepting new patients
Comprehensive Specialty Care Current Accepting new patients
Musculoskeletal Imaging and Interventional LLC Vascular & Interventional Radiology CurrentSince Jun 9, 2005 Accepting new patients
Musculoskeletal Imaging and Interventional LLC Vascular & Interventional Radiology CurrentSince Aug 3, 2025 Accepting new patients
TPG Hospital LLC Interventional Pain Medicine Current Accepting new patients
Jackson County Memorial Hospital Authority Interventional Pain Medicine Past Accepting new patients
Summit Medical Center Interventional Pain Medicine Past Accepting new patients
Oklahoma Spine Hospital LLC Interventional Pain Medicine Past Accepting new patients

Locations

1023 Waterwood Pkwy
Edmond, OK 73034
Phone (405) 513-7226

1700 S State St
Edmond, OK 73013
Phone (405) 330-1003

1800 Renaissance Blvd
Fl Second
Edmond, OK 73013
Phone (405) 359-2472

9204 N May Ave
Oklahoma City, OK 73120
Phone (405) 840-3488

Interoperability endpoints

  • Direct secure messaging: mii.douglas.beall@151993.advancedmd-direct.com

Organizations & group practices 8

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 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1992757181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731011390",
            "telephone_number": "405-601-2325",
            "fax_number": "405-497-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 WATERWOOD PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345324",
            "telephone_number": "405-601-2325",
            "fax_number": "405-497-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "19054",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OK",
            "license": "19054",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "19054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200005010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.