NPIMap

Individual provider Active NPI

Benjamin Paul Jaquish, M.D.

  • Vascular Surgery Physician
  • Temple, TX
National Provider Identifier
1194027037
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
P9206 Issued in TX
Practice address
2401 S 31St St
Ms-01-390F
Temple, TX 76508-0001
Phone
(775) 750-6083
NPI assigned
Nov 29, 2010
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301094774 MI
Vascular Surgery Physician 2086S0129X P9206 TX Primary

Addresses

Primary practice location

2401 S 31St St
Ms-01-390F
Temple, TX 76508-0001

Mailing address

75 Pringle Way
Ste 1002
Reno, NV 89502-1475
Phone (775) 323-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160627001662 NV Practitioner - General SurgeryPractitioner - Vascular Surgery 0941591655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Nevada School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reno Orthopaedic Clinic LTDGroup PAC ID 2567355316, 96 clinicians

Practice addresses (Care Compare)

555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Leg revascularization (restoring blood flow)82
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094774MIMDSurgery Physician
P9206TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Apr 1, 2021 Accepting new patients
Community Care Services LLC CurrentSince Apr 1, 2021 Accepting new patients
Reno Orthopaedic Clinic, LTD Vascular Surgery CurrentSince Dec 1, 2025 Accepting new patients
Reno Orthopaedic Clinic, LTD Vascular Surgery CurrentSince Dec 1, 2025 Accepting new patients
Community Care Services LLC Current Accepting new patients
St. Mary's Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1500 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 322-7811

555 N Arlington Ave
Reno, NV 89503

75 Pringle Way
Ste 1002
Reno, NV 89502
Phone (702) 323-7500

75 Pringle Way
Ste 900
Reno, NV 89502
Phone (775) 982-6270

Interoperability endpoints

  • Direct secure messaging: bjaquish109370@direct.renown.org

Organizations & group practices 7

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 12

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1194027037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "STE 1002",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021475",
            "telephone_number": "775-323-7500",
            "fax_number": "775-789-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "address_2": "MS-01-390F",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "775-750-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUISH",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301094774",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "P9206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.