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

Dr. Kenneth A Beasley, MD

Individual provider Urology Physician · NPI 1710960414

Dr. Kenneth A Beasley, MD is an Urology in Syracuse, New York. Qualified in 1997, 29 years ago. Practices with Associated Medical Professionals of Ny PLLC, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
29
Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1226 E Water St
Syracuse, NY 13210-1155
Phone: (315) 478-4185
Fax: (315) 478-0840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 39575 (KY)

Record details

NPI number1710960414
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2005
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020
Mailing address100 Metropolitan Park Dr Ste 100, Liverpool, NY 13088-7112

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Associated Medical Professionals Of Ny Pllc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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