Individual provider Active NPI

Benjamin Barry Weinberger, D. O.

  • Hematology & Oncology Physician
  • Monroe, LA
National Provider Identifier
1174520092
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
10161R Issued in LA
Practice address
411 Calypso St
Monroe, LA 71201-7506
Phone
(318) 325-7007
Fax
(318) 699-0025
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10161R LA
Internal Medicine Physician 207R00000X 10161R LA
Hematology & Oncology Physician 207RH0003X 10161R LA Primary

Addresses

Primary practice location

411 Calypso St
Monroe, LA 71201-7506

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-1970

Other identifiers 2

IdentifierTypeStateIssuer
P00077178OtherLARRMC
1975273MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address bweinberger16346@direct.casso.us.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040505000779 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3375531536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

517 Catalpa St
Monroe, LA 71201-7426
Phone (318) 966-6500

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
  • Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10161RLAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center, Inc. CurrentSince Oct 10, 2022 Accepting new patients
St Francis Medical Center, Inc CurrentSince Oct 10, 2022 Accepting new patients
St Francis Medical Group LLC Internal Medicine CurrentSince Jul 4, 2022 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Oncology Associates of Monroe Specialist Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

411 Calypso St
Ste 200
Monroe, LA 71201
Phone (318) 325-7007

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

1162 Oliver Rd
#B
Monroe, LA 71201
Phone (318) 325-7007

411 Calypso St
Ste 200A
Monroe, LA 71201
Phone (318) 966-1970

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

1162 Oliver Rd
Ste 7
Monroe, LA 71201
Phone (318) 325-7007

411 Calypso St
Monroe, LA 71201
Phone (318) 325-7007

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1174520092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-1970",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CALYPSO ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017506",
            "telephone_number": "318-325-7007",
            "fax_number": "318-699-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "BENJAMIN",
        "middle_name": "BARRY",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "10161R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "10161R",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "10161R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00077178",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1975273",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "411 Calypso St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bweinberger16346@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bweinberger16346@direct.casso.us.com",
            "address_1": "411 Calypso St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.