Individual provider Active NPI

Benjamin Robert Winders, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1033385349
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1830 E Monument St
Suite 9020
Baltimore, MD 21205-2100
Phone
(410) 955-7911
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1830 E Monument St
Suite 9020
Baltimore, MD 21205-2100

Mailing address

517 S Dallas St
Baltimore, MD 21231-2816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120814000243 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1850547498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Interventional Cardiology
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

2200 Park Bend
Suite 401
Austin, TX 78758-5509
Phone (512) 807-3160

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Aug 18, 2018 Accepting new patients
Vibra Physicians LLC CurrentSince May 10, 2014 Accepting new patients
St. David'S Cardiology, PLLC PastSince Jan 16, 2012 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7501 Wallace Blvd
Amarillo, TX 79124
Phone (806) 351-1600

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

2200 Park Bend Dr
Ste 401
Austin, TX 78758
Phone (512) 807-3160

12221 N Mopac Expy
Fl 1
Austin, TX 78758
Phone (512) 901-4001

2200 Park Bend Dr
Bldg 1
Austin, TX 78758
Phone (512) 339-0440

2700 Walker Way
Desoto, TX 75115
Phone (972) 283-5284

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

7215 Wyoming Springs Dr
Ste 100
Round Rock, TX 78681
Phone (512) 615-6224

Interoperability endpoints

  • Direct secure messaging: 945-winders-benjamin@direct.leadingreach.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1033385349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S DALLAS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST",
            "address_2": "SUITE 9020",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052100",
            "telephone_number": "410-955-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDERS",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.