Individual provider Active NPI

Benjamin Thomas Duke, D.C.

  • Chiropractor
  • Wilmette, IL
National Provider Identifier
1043403793
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010964 Issued in IL
Practice address
1515 Sheridan Rd
Arcade Unit 20-21
Wilmette, IL 60091-1822
Phone
(847) 920-4544
Fax
(847) 920-5754
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010964 IL Primary

Addresses

Primary practice location

1515 Sheridan Rd
Arcade Unit 20-21
Wilmette, IL 60091-1822

Mailing address

1515 Sheridan Rd
Arcade Unit 20-21
Wilmette, IL 60091-1822
Phone (847) 920-4544

Other identifiers 4

IdentifierTypeStateIssuer
F400094300OtherILMEDICARE GROUP MEMBER PTAN
F100094293OtherILMEDICARE GROUP/ORGANIZATION PROVIDER TRANSACTION ACCESS NUMBER PTAN
9932411OtherILBCBS
1605587OtherILBCBS IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109001888 FL Practitioner - Chiropractic 4789771007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Duke ChiropracticGroup PAC ID 6002283769, 2 clinicians

Practice addresses (Care Compare)

3123 Southgate Cir
Sarasota, FL 34239-5515
Phone (941) 366-0203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Chiropractic Chiropractor CurrentSince Aug 15, 2022 Accepting new patients
Circle Chiropractic Lakewood Ranch LLC Chiropractor CurrentSince Aug 11, 2025 Accepting new patients
Joseph F. Arme, D.C., P.a. PastSince Mar 31, 2018 Accepting new patients

Locations

3123 Southgate Cir
Sarasota, FL 34239
Phone (941) 366-0203

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1043403793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SHERIDAN RD",
            "address_2": "ARCADE UNIT 20-21",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911822",
            "telephone_number": "847-920-4544",
            "fax_number": "847-920-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SHERIDAN RD",
            "address_2": "ARCADE UNIT 20-21",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911822",
            "telephone_number": "847-920-4544",
            "fax_number": "847-920-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PTAN",
            "identifier": "F400094300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ORGANIZATION PROVIDER TRANSACTION ACCESS NUMBER PTAN",
            "identifier": "F100094293",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932411",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1605587",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.