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MR. NICHOLAS BEASTROM A.A.
NPI 1114245313
Anesthesiologist Assistant in Mayfiled Heights, OH

Active since May 12, 2010Accepts Medicare Assignment
6780 MAYFIELD ROAD, MAYFILED HEIGHTS, OH 44124(440) 312-4500 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Nicholas Beastrom A.a. NPPES

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

MR. NICHOLAS BEASTROM A.A. (NPI 1114245313) is an individual anesthesiologist assistant in Mayfiled Heights, Ohio, licensed in Ohio (67.000167) and active in the NPI registry since May 2010. He is affiliated with Marymount Hospital and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2010).

NPPES Registry Identity

NPI1114245313
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. NICHOLAS BEASTROMCredential: A.A.
Location Address6780 MAYFIELD ROADMayfiled Heights, OH 44124-2212
Mailing Address6780 Mayfield RoadMayfiled Heights, OH 44124-2212 · (440) 312-4500
Phone(440) 312-4500
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2010
Enumeration DateMay 12, 2010
Last NPPES UpdateOctober 6, 2010
✔ NPI 1114245313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in OH · 67.000167
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
6780 MAYFIELD ROAD, Mayfiled Heights, OH 44124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas Beastrom A.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850584863
PECOS Enrollment IDI20101022000730

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Beastrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
9.8 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients
Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRANAY SONI BS, MD
Neurological Surgery
6780 MAYFIELD ROAD, HSC1-703-8
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 444-2200
MRS. YVONNE MARIE ENOS MSN, APRN - CNP
Nurse Practitioner
6780 MAYFIELD ROAD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 337-0932
DR. ADRIENNA M JIRIK M.D.
Internal Medicine (Gastroenterology)
6780 MAYFIELD ROAD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-4500
JESSICA MENDELSON D.O.
Hospitalist
6780 MAYFIELD ROAD
MAYFIELD, OH 44124
Cuyahoga County (440) 312-4500

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 Nicholas Beastrom's NPI number?

The NPI number for Nicholas Beastrom is 1114245313. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Nicholas Beastrom located?

Nicholas Beastrom practices at 6780 Mayfield Road, Mayfiled Heights, OH 44124. The listed phone number is (440) 312-4500.

What is Nicholas Beastrom's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Nicholas Beastrom enrolled in Medicare?

Yes. Nicholas Beastrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Beastrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Beastrom reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The 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 Nicholas Beastrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Beastrom accept?

Health plans from CareSource list Nicholas Beastrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Beastrom affiliated with any hospitals?

According to CMS data, Nicholas Beastrom is affiliated with Marymount Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Beastrom was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.