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M. DAVID BEITLE, M.D., INC
NPI 1114045697
Obstetrics & Gynecology in Providence, RI

Active since March 26, 2007CLIA 41D2066497 · Microscopy
695 EDDY ST, PROVIDENCE, RI 02903(401) 274-1533(401) 369-7210 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About M. David Beitle, M.d., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M. DAVID BEITLE, M.D., INC (NPI 1114045697) is a healthcare organization registered as an obstetrics & gynecology in Providence, Rhode Island and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 26, 2027 and lists M. David Beitle, President, as its authorized official.

NPPES Registry Identity

NPI1114045697
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameM. DAVID BEITLE, M.D., INC
Location Address695 EDDY STProvidence, RI 02903-4941
Mailing Address695 Eddy StProvidence, RI 02903 · (401) 274-1533 · Fax (401) 369-7210
Phone(401) 274-1533
Fax(401) 369-7210
Organization SubpartNo
Authorized OfficialM. David BeitlePresident · (401) 274-1533
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114045697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · MD09135
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
695 EDDY ST, Providence, RI 02903
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M. David Beitle, M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to M. David Beitle, M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Beitle, M.D.
Obstetrics/Gynecology
NPI 1659318392
235 PLAIN ST STE 101A
Providence, RI 02905
(401) 274-1533
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D2066497

M David Beitle, MD · Providence, RI
Active · expires Sep 26, 2027
CLIA Number41D2066497
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorM David Beitle MD
Laboratory Phone(401) 274-1533
Laboratory LocationM David Beitle, MD235 Plain St Suite 101A, Providence, RI 02905
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M. David Beitle, M.D., Inc's NPI number?

The NPI number for M. David Beitle, M.D., Inc is 1114045697. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is M. David Beitle, M.D., Inc located?

M. David Beitle, M.D., Inc is located at 695 Eddy St, Providence, RI 02903. The listed phone number is (401) 274-1533.

What is M. David Beitle, M.D., Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is M. David Beitle, M.D., Inc enrolled in Medicare?

Yes. M. David Beitle, M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M. David Beitle, M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to M. David Beitle, M.D., Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does M. David Beitle, M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D2066497) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for M. David Beitle, M.D., Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.