ANGELA JADE BEAVERS MD
NPI 1376838045
Radiology - Pediatric Radiology in Omaha, NE

Active since June 10, 2011PECOS Enrolled
8200 DODGE ST, OMAHA, NE 68114(402) 250-9233 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Jade Beavers Md NPPES

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

ANGELA JADE BEAVERS MD (NPI 1376838045) is an individual pediatric radiology provider in Omaha, Nebraska, licensed in Nebraska (28901) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376838045
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameANGELA JADE BEAVERSCredential: MD
Location Address8200 DODGE STOmaha, NE 68114-4113
Mailing Address1509 N 129th Avenue CirOmaha, NE 68154-1072 · (402) 250-9233
Sole ProprietorNo
Enumeration DateJune 10, 2011
Last NPPES UpdateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1376838045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in NE · 28901
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License Q7531 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 6650 (NE)
8200 DODGE ST, Omaha, NE 68114

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Jade Beavers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Diagnostic Radiology
8303 DODGE ST
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 24 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.

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.

Dietitian, Registered (Nutrition, Pediatric)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Internal Medicine
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL
OMAHA, NE 68114
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - ED
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Emergency Medicine)
8200 DODGE ST, CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA, NE 68114

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 Angela Beavers's NPI number?

The NPI number for Angela Beavers is 1376838045. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Angela Beavers located?

Angela Beavers practices at 8200 Dodge St, Omaha, NE 68114. The listed phone number is (402) 250-9233.

What is Angela Beavers's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Angela Beavers enrolled in Medicare?

Yes. Angela Beavers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Beavers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Beavers reassigns Medicare benefits to Radiologic Center Inc (Omaha, NE). 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 Angela Beavers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Beavers accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Angela Beavers 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.

When was this NPI record last updated?

The NPPES record for Angela Beavers was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.