DR. DEREK BEATTY D.O. NPI 1104351410

NPI Information

  • NPI: 1104351410
  • Provider Name: DR. DEREK BEATTY, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 NE GLEN OAK AVE
    PEORIA, IL
    ZIP 61637
  • Phone: (309) 655-7768

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NPI Details

DR. Derek Beatty, D.O. is a diagnostic radiology radiology in Peoria, IL with 9 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Derek Beatty, D.O. NPI is 1104351410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637-001
Phone: (309) 655-7768

The NPI 1104351410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Nuclear medicine study limited area with ct scan (HCPCS:78814)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of face without contrast (HCPCS:70486)

The enumeration date for this NPI number is 4/24/2017 and was last updated on 3/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology036-160046ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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