DR. MICHAEL ALAN BEASLEY M.D.
NPI 1407183353
Pediatrics - Sports Medicine in Philadelphia, PA

Q: What is Michael Beasley's NPI number?

The NPI number for Michael Beasley is 1407183353. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Q: What is Michael Beasley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Michael Beasley was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since November 13, 2009PECOS Enrolled

3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000(267) 876-2181 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2024, Sep 23, 2021 (2 updates tracked since 2021).

On this page

About Dr. Michael Alan Beasley M.d. NPPES

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

DR. MICHAEL ALAN BEASLEY M.D. (NPI 1407183353) is an individual sports medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD483528) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407183353

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameDR. MICHAEL ALAN BEASLEYCredential: M.D.

Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319

Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-1000 · Fax (267) 876-8121

Phone(215) 590-1000

Fax(267) 876-2181

Sole ProprietorNo

Enumeration DateNovember 13, 2009

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1407183353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in PA · MD483528

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

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Other Identifiers 4

Medicaid525196AZ

Medicaid104285805PA

Other247169MA · Massachusetts License

Other900001779AZ · Employee Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Alan Beasley M.d. 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 Michael Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Surgical Associates Ltd

Same address

Urology

3401 CIVIC CENTER BLVD
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
178 clinicians in this Medicare group

NPI 1003985854 (215) 590-2754

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.

AARON DORFMAN M.D.

Pediatrics (Pediatric Cardiology)

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-4040

MS. NICOLE MARIE KOEPKE CRNP

Nurse Practitioner (Pediatrics)

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1944

DR. CASSANDRA ALYS LIGH MD

Surgery (Plastic and Reconstructive Surgery)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2208

DR. PREETI SOI

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-7555

ROSALIND USHER M.D.

Pediatrics (Developmental - Behavioral Pediatrics)

3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-6336

DR. MATTHEW DAVID SCHREIER MD

Pediatrics (Pediatric Cardiology)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

DR. TERRENCE CALDWELL JR. PHARMD

Pharmacist (Pediatrics)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

ALYSSA STIEFEL CRNP

Nurse Practitioner (Pediatrics)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

DR. ARCHANA ANANDAKRISHNAN DO

Pediatrics (Pediatric Gastroenterology)

3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC GASTROENTEROLOGY
PHILADELPHIA, PA 19104

Philadelphia County (267) 425-2739

DR. JONATHAN YU MD

Pediatrics

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1220

JULIA ESTHER LIM PA-C

Physician Assistant

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

HELIA IMANY-SHAKIBAI MD

Pediatrics

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1220

EMILY PENN PA-C

Physician Assistant

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (864) 873-7639

MS. MEGAN ELIZABETH STEIGERWALT

Nurse Practitioner (Pediatrics, Critical Care)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (267) 471-9308

JACOB SWITZER MD

Pediatrics

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1220

REBECCA TAUB

Nurse Practitioner (Women's Health)

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (800) 468-8376

LORRAINE E KATZ M.D.

Pediatrics (Pediatric Endocrinology)

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - ENDOCRINOLOGY
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-3174

NEAL J SONDHEIMER

Medical Genetics (Clinical Genetics (M.D.))

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - METABOLISM
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-3376

DR. JAMES M CALLAHAN MD

Pediatrics (Pediatric Emergency Medicine)

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1944

KAREN C PESTA CNMW

Advanced Practice Midwife

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (267) 425-6944

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 Michael Beasley's NPI number?

The NPI number for Michael Beasley is 1407183353. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Where is Michael Beasley located?

Michael Beasley practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Michael Beasley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Michael Beasley enrolled in Medicare?

Yes. Michael Beasley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Beasley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Beasley reassigns Medicare benefits to Children's Surgical Associates Ltd (Philadelphia, PA). 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 Michael Beasley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Beasley was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.