Individual provider Active NPI

William J Beneke, M.D

  • Cardiovascular Disease Physician
  • Williamsburg, VA
National Provider Identifier
1023164522
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
010123629 Issued in VA
Practice address
5215 Monticello Ave
Williamsburg, VA 23188-8213
Phone
(757) 229-1440
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 010123629 VA Primary

Addresses

Primary practice location

5215 Monticello Ave
Williamsburg, VA 23188-8213

Mailing address

5215 Monticello Ave
Williamsburg, VA 23188-8213
Phone (757) 229-1440

Other identifiers 1

IdentifierTypeStateIssuer
010077061MedicaidVA

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
I20041115000532 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294714895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010123629VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Dec 1, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Dec 1, 2022 Accepting new patients
Cardiographic Associates of High Street Cardiovascular Disease Past Accepting new patients
Burgess Health Associates LLC Past Accepting new patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients
Burgess Health Associates LLC Past Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients

Locations

827 Diligence Dr
Ste 100
Newport News, VA 23606

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1023164522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888213",
            "telephone_number": "757-229-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888213",
            "telephone_number": "757-229-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEKE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "010123629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010077061",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.