Bennie W Chiles III, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

193451 Issued in NY

Practice address

280 N Central Ave
Suite 235
Hartsdale, NY 10530-1832

Phone

(914) 332-0396

Fax

(914) 468-8895

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2013 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bwc9003@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurological & Spine Surgery Assoc., P.C.

  • Specialist
  • Hawthorne, NY
  • NPI 1831149368
  NPD (past)
• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1023126729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105300957",
            "telephone_number": "914-332-0396",
            "fax_number": "914-468-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE",
            "address_2": "SUITE 235",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301832",
            "telephone_number": "914-332-0396",
            "fax_number": "914-468-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILES",
        "first_name": "BENNIE",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "193451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Chapman
• Gayathri Cheran, INTERN
• Judi L Chervenak, MD
• Helen E. Chiao, DMD, MMSC
• Alexis Shannon Childs
• Kyung Hee Chin, DDS
• Raymond Chin, PT, DPT
• Stephanie Chu, MACCCSLP-TSHH
• Ann Marie Cianci, AU.D., CCC-A, FAAA
• Jennifer R Cinicolo, LMHC

• Neurological Surgery Physician in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.