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DR. KIM BEATTY MD
NPI 1164083770
Pediatrics - Neonatal-Perinatal Medicine in Springfield, MA

Active since June 25, 2019PECOS Enrolled
759 CHESTNUT ST, W2810, SPRINGFIELD, MA 01107(413) 794-5370(413) 794-5100 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kim Beatty Md NPPES

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

DR. KIM BEATTY MD (NPI 1164083770) is an individual neonatal-perinatal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (1024103) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164083770
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KIM BEATTYCredential: MD
Location Address759 CHESTNUT ST, W2810Springfield, MA 01107-1619
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-5370
Fax(413) 794-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2019
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1164083770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MA · 1024103
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
759 CHESTNUT ST, Springfield, MA 01107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Beatty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890231823
PECOS Enrollment IDI20250620002545
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MEHAK ALI MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-4320
ARNAB SAHA DO
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
KRISHNAKANT GURJAR MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
MR. KANISHQ RAJAN JETHANI M.D
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-4320
STEPHEN A LIEBERMAN MD
Pediatrics (Pediatric Critical Care Medicine)
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-5370
TWARA K TARASARIA MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
NOOR TARIQ MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
BRYANNE E MACDONALD MD
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-3233

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 Kim Beatty's NPI number?

The NPI number for Kim Beatty is 1164083770. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Kim Beatty located?

Kim Beatty practices at 759 Chestnut St W2810, Springfield, MA 01107. The listed phone number is (413) 794-5370.

What is Kim Beatty's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kim Beatty enrolled in Medicare?

Yes. Kim Beatty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Beatty was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.