Benjamin Louis Troy, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

01065732A Issued in IN

Practice address

230 East Day Road
Suite 160
Mishawaka, IN 46545-3463

Phone

(574) 271-8222

Fax

(574) 271-8896

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 27, 2015 through Oct 27, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: benjamin.troy.1@24035.direct.athenahealth.com
• Direct secure messaging: benjamin.troy.p1@direct.northshorehealth.nextgenshare.com

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.

• David F Sonego MD PC & Associates

  • Mental Health Counselor
  • Mishawaka, IN
  • NPI 1063575108
  NPD (past)
• County of Milwaukee

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1831256353

  General Practice

  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1144337791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EAST DAY ROAD",
            "address_2": "SUITE 160",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453463",
            "telephone_number": "574-271-8222",
            "fax_number": "574-271-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 EAST DAY ROAD",
            "address_2": "SUITE 160",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453463",
            "telephone_number": "574-271-8222",
            "fax_number": "574-271-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "BENJAMIN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "47532-020",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "47532-020",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01065732A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200912290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette M Treuchet, CMT
• Daniel J Triezenberg, MD
• Trinity Healthcare Inc. (Triune Home Health Partners)
• Eric Tripp, M.D.
• Triumph Rehabilitation Hospital Northern Indiana LLC (Kindred Hospital Northern Indiana)
• Nicole Troyer, RN
• Truelove Sleep Solutions, Inc (Koala Center for Sleep Disorders IN-1)
• Lisa A Tungate
• Kris Denzel Tupas, PHARMD
• Ashfaq A Turk, M.D.

• Child & Adolescent Psychiatry Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Child & Adolescent Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.