DR. BEAU BLAKELEY DC
NPI 1639644222
Chiropractor - Neurology in La Grange, IL
About Dr. Beau Blakeley Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BEAU BLAKELEY DC (NPI 1639644222) is an individual neurology provider in La Grange, Illinois, licensed in Illinois (038013267) and active in the NPI registry since October 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Beau Blakeley Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Beau Blakeley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60613
- Reassigned Medicare billing, Illinois enrollment
- 3 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.
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 Beau Blakeley's NPI number?
The NPI number for Beau Blakeley is 1639644222. It was assigned to this individual provider in the NPPES registry on October 10, 2018.
Where is Beau Blakeley located?
Beau Blakeley practices at 320 W Burlington Ave, La Grange, IL 60525. The listed phone number is (708) 497-2441.
What is Beau Blakeley's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Neurology, with taxonomy code 111NN0400X.
Is Beau Blakeley enrolled in Medicare?
Yes. Beau Blakeley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Beau Blakeley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beau Blakeley reassigns Medicare benefits to Suvarna Chiropractic Inc. (Chicago, IL). 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 Beau Blakeley'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 Beau Blakeley was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Beau Blakeley, DC · NPI 1639644222
Neurology provider in La Grange, Illinois. Individual provider, active in the CMS NPPES registry since October 10, 2018.
## Identity
- **NPI:** 1639644222 (Entity type: Individual)
- **Enumerated:** October 10, 2018
- **Primary specialty:** Chiropractor - Neurology · taxonomy 111NN0400X
- **State license:** 038013267 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 W BURLINGTON AVE, La Grange, IL 60525-2363
- **Phone:** (708) 497-2441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Suvarna Chiropractic Inc. (NPI 1255889317, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639644222) · Data from the CMS NPPES public registry.