Shad Beaty
Pediatrics Physician · Normal, IL
Shad Beaty is a pediatrics physician with a practice address in Normal, Illinois, and NPI 1538241591, issued on Oct 19, 2006. Check the license (Illinois 036-106215, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Shad Beaty
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 036-106215 IL
Self-reported in NPPES; status is on the state search - Practice location
- 2005 Jacobssen Dr, Normal, IL 61761
- Phone
- (309) 319-7360
- Enumerated
- Oct 19, 2006
- Record last updated
- Oct 3, 2022
- Medicaid ID
- 036106215 IL
- Medicare enrollment
- Enrolled (PECOS I20130627000558); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 3,176 in Illinois → Look up another NPI →
Also registered at 2005 Jacobssen Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sonia Gajula, MDEndocrinology, Diabetes & Metabolism Physician1417055989
- Molly Lundy, M.D.Pediatrics Physician1124349089
Verify Shad Beaty in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-106215Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $90.26
4 payments; by number, the most common kind was food and beverage; the largest payer was Sanofi Pasteur Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Springfield Clinic, LLPMorton, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shad Beaty among 3,176 pediatrics physician records in Illinois
Shad Beaty is one of 3,176 pediatrics physician records with a practice address in Illinois. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 59% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 7% of these records are
- Graduated1999 · median 2010 among the 235 with a school on file
- Record last updated2022 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatrics Physician providers in Illinois
There are 3,176 pediatrics physician records in Illinois.
All 3,176 in Illinois → Every provider in Normal → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Adam Ebreo, D.O.Normal, IL 617611225144553
- Molly Lundy, M.D.Normal, IL 617611124349089
- Kimberly Marshall, M.D.Normal, IL 617611255353603
- Anita Tillman, M.D.Normal, IL 617611821016502
- Joseph Flint, MDDelavan, IL 617341013064195
- Dennis Cappitelli, DONormal, IL 617901114987450
- Mohammed Ahmed, MD, PHDUrbana, IL 618011841240322
- Donna Beck, MDUrbana, IL 618011255365797
Common questions
What is Shad Beaty's NPI number?
Shad Beaty's National Provider Identifier (NPI) is 1538241591, issued on Oct 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shad Beaty located?
The NPPES record lists a practice address at 2005 Jacobssen Dr, Normal, IL, 61761. Phone: (309) 319-7360. Providers update this record themselves, so call before visiting.
How can I verify Shad Beaty's license?
NPPES lists Illinois license number 036-106215, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.