Benjamin Jeffrey Robert Childes, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2024-00844 Issued in NC

Practice address

1215 Lee St
Charlottesville, VA 22908-4210

Phone

(434) 924-9400

NPI assigned

Jun 11, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Diagnostic Radiology

Education

University of South Carolina School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
• Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Triad Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1659485001
  Medicare reassignment Care Compare group NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Mallard Creek

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043005689
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Laurinburg

  • Diagnostic Radiology Physician
  • Laurinburg, NC
  • NPI 1144015777
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Conlan Circle

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1235924846
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Hamptons Park

  • Diagnostic Radiology Physician
  • Huntersville, NC
  • NPI 1386439909
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Copperfield

  • Diagnostic Radiology Physician
  • Concord, NC
  • NPI 1447045067
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Village Point

  • Diagnostic Radiology Physician
  • Clemmons, NC
  • NPI 1457146060
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Caldwell

  • Diagnostic Radiology Physician
  • Belmont, NC
  • NPI 1578358180
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Shelby

  • Diagnostic Radiology Physician
  • Shelby, NC
  • NPI 1629863261
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Welton

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1649065285
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Park Center

  • Diagnostic Radiology Physician
  • Matthews, NC
  • NPI 1851186480
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Kernersville West

  • Diagnostic Radiology Physician
  • Kernersville, NC
  • NPI 1891580429
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Psychiatric Hospital Unit
  • Winston Salem, NC
  • NPI 1063480531
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Rehabilitation Hospital Unit
  • Winston Salem, NC
  • NPI 1114995677
  Care Compare affiliation
• North Carolina Baptist Hospital

  dba Wake Forest Baptist Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1144211301
  Care Compare affiliation
• North Carolina Baptist Hospital

  dba Wake Forest Baptist Medical Center

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1609162098

  Hospital

  Care Compare affiliation
• North Carolina Baptist Hospital

  dba Winston East Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Winston Salem, NC
  • NPI 1912179219

  Hospital

  Care Compare affiliation
• Northern Hospital of Surry County

  dba North Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation
• Novant Health Thomasville Medical Center, LLC

  dba Novant Health Thomasville Medical Center

  • General Acute Care Hospital
  • Thomasville, NC
  • NPI 1801848767
  Care Compare affiliation

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1144713512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229084210",
            "telephone_number": "434-924-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229084210",
            "telephone_number": "434-924-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDES",
        "first_name": "BENJAMIN",
        "middle_name": "JEFFREY ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2024-00844",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116037656",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2024-00844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya Chhabra, MD
• Sunny S. Chiao, M.D.
• Sharon Elaine Chilcote-Doner, PH.D.
• Child Health Partnership Inc
• Sherry L Child, ACNP
• Children's Dentistry of Charlottesville, P.C.
• Felecia Renee Childress, RN
• Reba M. Childress, R.N., N.P.
• Chinamed USA (ChinaMed)
• Scott D Chirichetti, DO

• Diagnostic Radiology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.

Verify at the official NPI Registry.