DR. EVAN JAMES BEACOM DO
NPI 1184111585
Internal Medicine in Minneapolis, MN
About Dr. Evan James Beacom Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVAN JAMES BEACOM DO (NPI 1184111585) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (69868) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Evan James Beacom Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Beacom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Evan Beacom's NPI number?
The NPI number for Evan Beacom is 1184111585. It was assigned to this individual provider in the NPPES registry on April 20, 2018.
Where is Evan Beacom located?
Evan Beacom practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.
What is Evan Beacom's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Evan Beacom enrolled in Medicare?
Yes. Evan Beacom 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 Evan Beacom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Beacom reassigns Medicare benefits to Fairview Health Services (Minneapolis, MN). 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 Evan Beacom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Evan Beacom affiliated with any hospitals?
According to CMS data, Evan Beacom is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Evan Beacom was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Evan James Beacom, DO · NPI 1184111585
Internal Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 20, 2018.
## Identity
- **NPI:** 1184111585 (Entity type: Individual)
- **Enumerated:** April 20, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 69868 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 672-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Fairview Health Services (NPI 1316008212, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1184111585) · Data from the CMS NPPES public registry.