NPIMap

Individual provider Active NPI

Benjamin Joseph Stillman, DO

  • Family Medicine Physician
  • Petersburg, IN
National Provider Identifier
1164942207
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005938A Issued in IN
Practice address
1003 E Illinois St
Petersburg, IN 47567-8068
Phone
(812) 354-3458
NPI assigned
Jun 20, 2017
Last updated
Apr 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02005938A IN Primary
Family Medicine Physician 207Q00000X LL41044 SC

Addresses

Primary practice location

1003 E Illinois St
Petersburg, IN 47567-8068

Mailing address

1003 E Illinois St
Petersburg, IN 47567-8068
Phone (812) 354-3458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709002000 IN Practitioner - Family Practice 3971877960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

105 Cooper St
Loogootee, IN 47553-2223
Phone (812) 295-2812

966 Bartley St
Jasper, IN 47546-2641
Phone (812) 996-7810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL41044SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Family Medicine Current Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine Current Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Clinic Inc. Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

966 Bartley St
Jasper, IN 47546
Phone (812) 996-5425

105 Cooper St
Loogootee, IN 47553
Phone (812) 295-2812

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1003 E Illinois St
Petersburg, IN 47567
Phone (812) 354-3458

Interoperability endpoints

  • Direct secure messaging: bstillman1046906@direct.deaconess.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1164942207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E ILLINOIS ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678068",
            "telephone_number": "812-354-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E ILLINOIS ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678068",
            "telephone_number": "812-354-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005938A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL41044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IN

Sources for this page

Verify at the official NPI Registry.