Individual provider Active NPI

Benjamin Harrison McIlwaine, MD

  • Family Medicine Physician
  • Leesburg, VA
National Provider Identifier
1023124005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101026770 Issued in VA
Practice address
44045 Riverside Pkwy
Inova Loudoun Hospital
Leesburg, VA 20176-5101
Phone
(703) 858-6044
Fax
(705) 858-6775
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101026770 VA Primary

Addresses

Primary practice location

44045 Riverside Pkwy
Inova Loudoun Hospital
Leesburg, VA 20176-5101

Mailing address

44045 Riverside Pkwy
Inova Loudoun Hospital
Leesburg, VA 20176-5101
Phone (703) 858-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000078 VA Practitioner - Family Practice 6002910296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 23, 2013 Accepting new patients
Inova Health Care Services CurrentSince Mar 23, 2013 Accepting new patients
Inova Health Care Services Current Accepting new patients
Commonwealth Inpatient Physicians, LLC Past Accepting new patients
Loudoun Hospital Center Past Accepting new patients
Catoctin Family Practice of Leesburg, PLLC Family Medicine Past Accepting new patients

Locations

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023124005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 RIVERSIDE PKWY",
            "address_2": "INOVA LOUDOUN HOSPITAL",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765101",
            "telephone_number": "703-858-6044",
            "fax_number": "705-858-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 RIVERSIDE PKWY",
            "address_2": "INOVA LOUDOUN HOSPITAL",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765101",
            "telephone_number": "703-858-6044",
            "fax_number": "705-858-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAINE",
        "first_name": "BENJAMIN",
        "middle_name": "HARRISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101026770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.