KENNETH A. BEASLEY MD – NPI #1710960414
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

KENNETH BEASLEY is an urologist located in SYRACUSE, NY. NPPES has assigned the NPI number 1710960414 to KENNETH BEASLEY on November 28, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Feb 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH BEASLEY below.

NPI Profile for
KENNETH A. BEASLEY

NPI Number
1710960414
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH A. BEASLEY
Credentials
MD
Primary location
1226 E WATER ST
SYRACUSE, NY 13210-1155
Phone: (315) 478-4185 Fax: (315) 478-0840
Mailing address
100 METROPOLITAN PARK DR STE 100
LIVERPOOL, NY 13088-7112
Phone: (315) 870-9370 Fax: (315) 870-9364
Sole Proprietor
No
Updated
Certification Date
Feb 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 KY 39575

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENNETH BEASLEY is affiliated with the following medical group(s):
  • HOSPITAL
    • COMMUNITY MEMORIAL HOSPITAL, INC
      150 BROAD STREET
      HAMILTON, NY 13346
    • CROUSE HOSPITAL
      736 IRVING AVENUE
      SYRACUSE, NY 13210
    • ST JOSEPH'S HOSPITAL HEALTH CENTER
      301 PROSPECT AVENUE
      SYRACUSE, NY 13203

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.