RANDY S.BEALLIS D.O. P.A.
NPI 1447483185
Family Medicine - Adult Medicine in Fort Smith, AR
About Randy S.beallis D.o. P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDY S.BEALLIS D.O. P.A. (NPI 1447483185) is a healthcare organization registered as an adult medicine in Fort Smith, Arkansas and active in the NPI registry since August 2009. The organization lists Randy S Beallis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randy S.beallis D.o. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Randy S.Beallis D.O. P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Randy S.Beallis D.O. P.A.'s NPI number?
The NPI number for Randy S.Beallis D.O. P.A. is 1447483185. It was assigned to this organization in the NPPES registry on August 28, 2009.
Where is Randy S.Beallis D.O. P.A. located?
Randy S.Beallis D.O. P.A. is located at 7301 Rogers Ave Fl 4, Fort Smith, AR 72903. The listed phone number is (479) 646-5700.
What is Randy S.Beallis D.O. P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Randy S.Beallis D.O. P.A. enrolled in Medicare?
Yes. Randy S.Beallis D.O. P.A. is registered in the Medicare PECOS enrollment system.
When is Randy S.Beallis D.O. P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Randy S.Beallis D.O. P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Randy S.Beallis D.O. P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Randy S.Beallis D.O. P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Randy S.Beallis D.O. P.A. 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 Randy S.Beallis D.O. P.A. was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Randy S.beallis D.o. P.a. · NPI 1447483185
Adult Medicine organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since August 28, 2009.
## Identity
- **NPI:** 1447483185 (Entity type: Organization)
- **Enumerated:** August 28, 2009
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Randy Beallis, OWNER
## Practice location
- **Address:** 7301 ROGERS AVE FL 4, Fort Smith, AR 72903-4100
- **Phone:** (479) 646-5700 · **Fax:** (479) 646-5956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Hospitalist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447483185) · Data from the CMS NPPES public registry.