Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek Beatty, DO

Individual provider Diagnostic Radiology Physician · NPI 1104351410

Dr. Derek Beatty, DO is a Diagnostic Radiology in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036-160046 (IL)

Record details

NPI number1104351410
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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