Individual provider Active NPI

Benjamin Carllee Holman, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1083830749
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48427 Issued in TN
Practice address
Johns Hopkins Radiology
600 N. Wolf St.
Baltimore, MD 21287-0001
Phone
(410) 955-8450
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 48427 TN Primary
Diagnostic Radiology Physician 2085R0202X 20729 MS

Addresses

Primary practice location

Johns Hopkins Radiology
600 N. Wolf St.
Baltimore, MD 21287-0001

Mailing address

813 S Glover St
Baltimore, MD 21224-3730
Phone (901) 626-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120723000097 TN Practitioner - Diagnostic Radiology 4688852635 Reassigns benefits to 1 organization
I20120912000584 MS Practitioner - Diagnostic Radiology 4688852635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Radiological PCGroup PAC ID 1557333226, 50 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7600

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700

1377 S Germantown Rd
Germantown, TN 38138-2225
Phone (901) 759-7500

1801 Union Ave
Memphis, TN 38104-3942
Phone (901) 722-3130

1938 Crescent Meadow Dr
Holly Springs, MS 38635-7419
Phone (662) 252-1599

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

430 Hwy 51 N
Brookhaven, MS 39601-2351
Phone (601) 990-4303

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

6401 Poplar Ave
Suite 100
Memphis, TN 38119-4840
Phone (901) 387-2340

705 N State St
Clarksdale, MS 38614-6519
Phone (662) 627-2973

7400 Airways Blvd
Southaven, MS 38671-5863
Phone (662) 536-1000

7691 Poplar Ave
Memphis, TN 38138-3904
Phone (901) 561-6000

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 725-5100

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20729MSMDDiagnostic Radiology Physician
48427TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Memphis Radiological, PC Past Accepting new patients

Locations (25 of 26)

551 Medical Dr
Clarksdale, MS 38614
Phone (662) 624-2531

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

5480 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-9800

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

103 Halls Cv
Senatobia, MS 38668
Phone (662) 562-9003

3674 Goodman Rd E
#E
Southaven, MS 38672

7400 Airways Blvd
Southaven, MS 38671
Phone (662) 536-1000

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

1377 S Germantown Rd
Germantown, TN 38138
Phone (901) 516-6792

3950 New Covington Pike
Memphis, TN 38128
Phone (901) 387-2900

7695 Poplar Pike
Ste 101
Memphis, TN 38138

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7710 Wolf River Cir
Memphis, TN 38138
Phone (901) 685-5969

1803 Union Ave
Ste 2
Memphis, TN 38104
Phone (901) 722-3136

225 S Claybrook St
Memphis, TN 38104
Phone (901) 516-2152

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1801 Union Ave
Memphis, TN 38104
Phone (901) 516-6792

6401 Poplar Ave
Ste 100
Memphis, TN 38119
Phone (901) 387-2340

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6401 Poplar Ave
Ste 505
Memphis, TN 38119
Phone (901) 683-1890

76 Tabb Dr
Ste E
Munford, TN 38058
Phone (901) 840-2102

Interoperability endpoints

  • Direct secure messaging: bholman23333@mlh.direct-ci.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 7

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1083830749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 S GLOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243730",
            "telephone_number": "901-626-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHNS HOPKINS RADIOLOGY",
            "address_2": "600 N. WOLF ST.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001",
            "telephone_number": "410-955-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "BENJAMIN",
        "middle_name": "CARLLEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "48427",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "20729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.