DR. JACK JUAN BELLER M.D.
NPI 1437157344
Specialist in Oklahoma City, OK

Q: What is Jack Beller's NPI number?

The NPI number for Jack Beller is 1437157344. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Jack Beller's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Beller was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 13, 2005PECOS Enrolled

3301 NW 50TH ST, OKLAHOMA CITY, OK 73112(405) 947-0911 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jack Juan Beller M.d. NPPES

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

DR. JACK JUAN BELLER M.D. (NPI 1437157344) is an individual specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (9412) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437157344

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JACK JUAN BELLERCredential: M.D.

Location Address3301 NW 50TH STOklahoma City, OK 73112-5627

Mailing Address3301 Nw 50th StOklahoma City, OK 73112-5627 · (405) 947-0911

Phone(405) 947-0911

Sole ProprietorNo

Enumeration DateJuly 13, 2005

Last NPPES UpdateSeptember 7, 2012

✔ NPI 1437157344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OK · 9412

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 9412 (OK)

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 9412 (OK)

3301 NW 50TH ST, Oklahoma City, OK 73112

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Other Identifiers 4

Medicare PIN247609001OK

Medicaid100110450AOK

Medicare UPIND34392OK

OtherP00777384OK · Mcr Railroad

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. Jack Juan Beller 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.

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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.

OKLAHOMA ANESTHESIA CONSULTANTS INC

Anesthesiology