Active NPI
Benjamin Paul, DO
- Family Medicine Physician
- Humboldt, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-05539
- Practice address
- 1000 15TH St N
Humboldt, IA 50548-1008 - Phone
- (515) 332-2015
- NPI assigned
- May 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64549 | MN | |
| Family Medicine Physician | 207Q00000X | DO-05539 | IA | Primary |
Addresses
Primary practice location
1000 15TH St N
Humboldt, IA 50548-1008
Mailing address
1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 15TH St N C
Unitypoint Health Trinity Heart Center
Humboldt, IA 50548-1008
Phone (515) 206-7270
Hospital & facility affiliations
- Unitypoint at Home
- St Croix Hospice
- Humboldt County Memorial Hospital
- Trinity Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-05539 | IA | MD | Family Medicine Physician |
| 64549 | MN | MD | Family Medicine Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Humboldt County Memorial Hospital | Current | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
1000 15th St N
Ste A
Humboldt, IA 50548
Phone (515) 332-2015
1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200
Networks
- IA HMO C-SNP
- IA HMO
Interoperability endpoints
- bpaul762191@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- Emergency Medicine Physician
- Humboldt, IA
- NPI 1043395247
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- Community Based Hospice Care Agency
- Spirit Lake, IA
- NPI 1659786259
-
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
-
- Home Health Agency
- Fort Dodge, IA
- NPI 1528204815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1023544707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 15TH ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481008",
"telephone_number": "515-332-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 15TH ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481008",
"telephone_number": "515-332-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "BENJAMIN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "64549",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-05539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humboldt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.