Active NPI
Thomas James Benda Jr., M.D.
- Otolaryngology Physician
- Dubuque, IA
National Provider Identifier
1003897554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 29238
- Practice address
- 535 Cedar Cross Road
Dubuque, IA 52003-7704 - Phone
- (563) 588-0506
- Fax
- (563) 588-0451
- NPI assigned
- Nov 10, 2005
- Last updated
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 29238 | IA | Primary |
Addresses
Primary practice location
535 Cedar Cross Road
Dubuque, IA 52003-7704
Mailing address
535 Cedar Cross Road
Dubuque, IA 52003-7704
Phone (563) 588-0506
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100461 | Medicaid | IA | |
| 040003712 | Other | IA | RAILROAD MEDICARE PROVIDE |
| 42098297112 | Other | IA | JOHN DEERE PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
535 Cedar Cross Rd
Dubuque, IA 52003-7704
Phone (563) 588-0506
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.5 of 100
- Quality
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 23 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 34 |
| Skin biopsy | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29238 | IA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| The Finley Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIIIBA/Endpoint/DIIIBA
- tbenda141948@direct.unitypoint.org
- tbenda3930647@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba UnityPoint Health - Provider Services
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1134176308
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Guttenberg, IA
- NPI 1932139359
-
dba Jackson County Regional Health Center
- Critical Access Hospital
- Maquoketa, IA
- NPI 1912960758
-
dba Unitypoint Health - Finley Hosptial
- General Acute Care Hospital
- Dubuque, IA
- NPI 1942392600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1003897554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CEDAR CROSS ROAD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037704",
"telephone_number": "563-588-0506",
"fax_number": "563-588-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CEDAR CROSS ROAD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037704",
"telephone_number": "563-588-0506",
"fax_number": "563-588-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDA",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "29238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100461",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDE",
"identifier": "040003712",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER ID",
"identifier": "42098297112",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.