PETER A. BEORIS, MD — NPI 1114030863 (Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) in YREKA, CA)

CMS-1500 Box 24J / 33a • NPI

1114030863

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207P00000X (CMS 93)

Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)

Box 32 Service Location & ZIP+4

475 BRUCE ST, YREKA, CA, 96097-3474

✓ 9-Digit EDI 837 ZIP+4 (96097-3474)

Practice Phone & Referral Fax

(530) 842-3507

Direct NPPES Verification Line

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1114030863 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender — Effective 2014-05-20). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114030863` (NPI-1 Individual Practitioner)
Provider / Legal Name	PETER A. BEORIS, MD
Plain-English Specialty	Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: `207P00000X` (Emergency Medicine)
Certifying / Licensing Body	American Board of Emergency Medicine (ABEM)
Practice Location Address	475 BRUCE ST, YREKA, CA, 96097-3474
Practice Telephone / Fax	Tel: (530) 842-3507
Administrative Mailing Address	475 BRUCE ST, YREKA, CA, 96097-3474
Enumeration & Last Sync	Enumerated: 2006-08-16 \| CMS Record Updated: 2009-11-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

475 BRUCE ST, YREKA, CA, 96097-3474

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Plain-English Taxonomy & CMS Crosswalk (207P00000X)

What Does Taxonomy Code 207P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 93 (Physician/Emergency Medicine)
Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
Clinical Scope: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PETER A. BEORIS, MD)

Typical CPT / Diagnostic Procedures:

Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting

Common Therapeutic Classes:

Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: CA \| License: `G35111` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PETER A. BEORIS, MD (NPI #1114030863)