Individual provider Active NPI

Benjamin Rattray, D.O.

  • Neonatal-Perinatal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1144497314
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
2010-00638 Issued in NC
Practice address
628 Green Valley Rd
Suite 210
Greensboro, NC 27408-7730
Phone
(336) 478-1016
Fax
(336) 851-1737
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 141443 NC
Neonatal-Perinatal Medicine Physician 2080N0001X 2010-00638 NC Primary

Addresses

Primary practice location

628 Green Valley Rd
Suite 210
Greensboro, NC 27408-7730

Mailing address

628 Green Valley Rd
Suite 210
Greensboro, NC 27408-7730
Phone (336) 478-1016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140519000912 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6608099726

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141443NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Neonatology PC Neonatal-Perinatal Medicine Past Accepting new patients

Organizations & group practices 1

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1144497314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 GREEN VALLEY RD",
            "address_2": "SUITE 210",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087730",
            "telephone_number": "336-478-1016",
            "fax_number": "336-851-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 GREEN VALLEY RD",
            "address_2": "SUITE 210",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087730",
            "telephone_number": "336-478-1016",
            "fax_number": "336-851-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTRAY",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "141443",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "2010-00638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.