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Active NPI 1538241591 Individual Practitioner Male Practitioner

Shad Beaty

Pediatrics • Normal, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shad Beaty is a certified Pediatrics practicing in Normal, IL. With approximately 27 years of clinical experience since completing medical education in 1999, Shad Beaty delivers high-quality medical care to the local community at 2005 JACOBSSEN DR.

Shad Beaty is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2005 Jacobssen Dr

Normal, IL 617616287

Telephone 3093197360
Associated Practice Facility / Clinic
🏢 Urohealth Institute, L.l.c. Facility NPI 1710020052

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Normal, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs Matches City Avg
City Avg: 27.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Normal, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beaty (27 Years) 27 Yrs
Normal Specialty Average (27.0 Years) 27.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-10-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036-106215

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036106215 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Springfield Clinic, Llp

134 W Adams St, Morton, IL 615501802

Phone: 3092913380

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1124349089

Doctor of Medicine (M.D.)

Dr. Sonia Gajula , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1417055989

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 03, 2022

Registered at 2005 JACOBSSEN DR, NORMAL, IL 617616287 (Tel: 3093197360)

📍
Updated Business Mailing Address October 03, 2022

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2022

Pediatrics (License #036-106215 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 435 MAXINE DR, MORTON, IL 615502498 (Tel: 3092632424)

📍
Updated Business Mailing Address July 08, 2007

Registered at 435 MAXINE DR, MORTON, IL 615502498 (Tel: 3092632424)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHAD BEATY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

🟢
Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538241591
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: October 03, 2022
Sole Proprietor: No

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.