DR. BEVERLY MINOLTA LONDON (MD) – Obstetrics & Gynecology Physician, NPI 1366426033

DR. BEVERLY MINOLTA LONDON (MD) is a healthcare provider. based in Urbana, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036142720 (IL). The NPI Number for DR. BEVERLY MINOLTA LONDON (MD) is 1366426033

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. BEVERLY MINOLTA LONDON (MD)
NPI
1366426033
Phone
(217) 383-6941
Address
611 W PARK ST
Enumeration Date
6 December 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2173656200
Graduation Year
1993 (33 years ago)
PAC ID
7214206713
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20170626002897
Address ID
IL618229678CH1701XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for DR. BEVERLY MINOLTA LONDON (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 618012529

    Phone: (217) 383-6941

    Type: Mailing

  • Curtis Road, Ogden, Champaign County, Illinois, 61859, United States

    CHAMPAIGN, IL 618229678

    Phone: (217) 365-6208

    Fax: (217) 326-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $1,493.

Total Amount is formed as General ($1,493) + Research ($0) + Ownership ($0) = $1,493.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Organon LLC ($1,398).

Total Amount

$1,493

General + Research + Ownership

Payments

5

Total payment records

General Amount

$1,493

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170626002897IObstetrics/GynecologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1812$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1212$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

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Frequently asked questions

What number should I use to identify DR. BEVERLY MINOLTA LONDON (MD) for billing?
Administrative and clinical systems typically use NPI 1366426033 for DR. BEVERLY MINOLTA LONDON (MD).
Quick check: is DR. BEVERLY MINOLTA LONDON (MD) active?
Public NPPES data shows DR. BEVERLY MINOLTA LONDON (MD) with an active NPI status right now.
What type of care does DR. BEVERLY MINOLTA LONDON (MD) provide?
DR. BEVERLY MINOLTA LONDON (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BEVERLY MINOLTA LONDON (MD) tied to Urbana, Illinois?
If you are local to Urbana, Illinois, DR. BEVERLY MINOLTA LONDON (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.