Samuel Charles Beavin, MD

Internal Medicine, Nephrology in Lexington, KY. Individual provider (NPI-1).

NPI number1124523741

StatusActive

Last updated in NPPESJun 7, 2024

Details

NPI: 1124523741
Entity type: Individual (NPI-1)
Name: Samuel Charles Beavin
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 26, 2018
Certification date: Jun 7, 2024
Last updated: Jun 7, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NEPHROLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RN0300X	Internal Medicine, Nephrology	55437	KY	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

800 Rose St
Lexington, KY 40536-0293

Phone 859-323-1691 · Fax 859-323-1700

Mailing address

900 S Limeston Ctw 304
Lexington, KY 40536-0293

Phone 859-323-9918 · Fax 859-323-1197

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nephrology Physician providers in Lexington, KY

All 48 Nephrology Physician providers in Lexington · All 17,069 providers in Lexington

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