Physician Compare National (NPI:1174639249)

HEALTHCARE PROVIDER: STEPHEN ROBERT BECK M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174639249
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123293552
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120112000069
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BECK
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2704 E 62ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	INDIANAPOLIS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	462202985
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150084
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST. VINCENT HOSPITALS AND HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360068
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150056
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150169
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMMUNITY HOSPITAL NORTH
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	150074
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	COMMUNITY HOSPITAL EAST
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1174639249)

HEALTHCARE PROVIDER: STEPHEN ROBERT BECK M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information