Active NPI
Benjamin W Dart IV, M.D.
- Surgery Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD37822
- Practice address
- 979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136 - Phone
- (423) 267-0466
- Fax
- (423) 757-0775
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MD37822 | TN | |
| Surgery Physician | 208600000X | MD37822 | TN | Primary |
Addresses
Primary practice location
979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136
Mailing address
979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136
Phone (423) 267-0466
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3328077 | Medicaid | TN | |
| 5566975 | Other | CIGNA | |
| 522651903A | Medicaid | GA | |
| 4106058 | Other | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- General Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466
Hospital & facility affiliations
- Erlanger Medical Center
- Blue Ridge Medical Center
- Erlanger Murphy Medical Center
- Affiliate of Vitruvian Health
- Rhea Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37822 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, PLLC | Surgery | Current | Accepting new patients |
| University Surgical Associates PC | Surgery | Past | Accepting new patients |
| Erlanger Health | Past | Accepting new patients |
Locations
1635 Gunbarrel Rd
Ste 210
Chattanooga, TN 37421
979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792
Interoperability endpoints
- benjamin.dart.1@33371.direct.athenahealth.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772
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.
-
- Surgery Physician
- Chattanooga, TN
- NPI 1972520963
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- Surgery Physician
- Chattanooga, TN
- NPI 1437102704
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- Critical Access Hospital
- Dayton, TN
- NPI 1811987084
-
- Critical Access Hospital
- Blue Ridge, GA
- NPI 1851362263
-
- Critical Access Hospital
- Murphy, NC
- NPI 1801831102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1104810167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-267-0466",
"fax_number": "423-757-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-267-0466",
"fax_number": "423-757-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DART",
"first_name": "BENJAMIN",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TN",
"license": "MD37822",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD37822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3328077",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5566975",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522651903A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4106058",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.