Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Shad Beaty
Pediatrics Physician in Normal, IL · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1538241591
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Registry record
Entity type Individual (Type 1)
Name Shad Beaty
Sex Male
Practice address 2005 Jacobssen Dr, Normal, IL, 61761
Phone (309) 319-7360
Enumeration date Oct 19, 2006
Last updated in NPPES Oct 3, 2022
Taxonomy & licenses
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 036-106215 (IL) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106215 | Medicaid | IL | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Shad Beaty practice?
The practice location on file with NPPES is in Normal, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shad Beaty?
The National Provider Identifier (NPI) for Shad Beaty is 1538241591, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Sonia Gajula Endocrinology, Diabetes & Metabolism Physician · Normal, IL NPI 1417055989 Urohealth Institute, L.L.C. Ambulatory Surgical Clinic/Center · Normal, IL NPI 1710020052 Bloomington Perfusionist Inc. Durable Medical Equipment & Medical Supplies · Normal, IL NPI 1326375346 Molly Lundy Pediatrics Physician · Normal, IL NPI 1124349089 Premier Medical Group, LLC Orthopaedic Surgery Physician · Normal, IL NPI 1275825432
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-03.