Individual provider Active NPI

Benjamin David Powell, M.D.

  • Otolaryngology Physician
  • Huntsville, AL
National Provider Identifier
1225157886
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.30920 Issued in AL
Practice address
201 Whitesport Dr SW
Huntsville, AL 35801-6449
Phone
(256) 881-5353
Fax
(256) 881-0712
NPI assigned
Mar 28, 2007
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 49837 MN
Otolaryngology Physician 207Y00000X MD.30920 AL Primary

Addresses

Primary practice location

201 Whitesport Dr SW
Huntsville, AL 35801-6449

Mailing address

201 Whitesport Dr SW
Huntsville, AL 35801-6449
Phone (256) 881-5353

Other identifiers 1

IdentifierTypeStateIssuer
537423100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111018000627 AL Practitioner - Otolaryngology 8820182439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Whitesport Dr SW
Huntsville, AL 35801-6449
Phone 2568815353117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.30920ALMDOtolaryngology Physician
49837MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose Throat Head & Neck Surgery of Huntsville, P.C. CurrentSince Aug 15, 2011 Accepting new patients

Locations

201 Whitesport Dr SW
Huntsville, AL 35801
Phone (256) 693-6863

Interoperability endpoints

  • Direct secure messaging: bpowell@huntsvilleent.mdlogic.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1225157886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WHITESPORT DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016449",
            "telephone_number": "256-881-5353",
            "fax_number": "256-881-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WHITESPORT DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016449",
            "telephone_number": "256-881-5353",
            "fax_number": "256-881-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "49837",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "MD.30920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537423100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.