Individual provider Active NPI

Benjamin Ivan McKinney, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reidsville, NC
National Provider Identifier
1245266089
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
557 Issued in NC
Practice address
307 South Main St
Reidsville, NC 27320-3815
Phone
(336) 342-5701
Fax
(336) 342-1373
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00290 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 557 NC Primary

Addresses

Primary practice location

307 South Main St
Reidsville, NC 27320-3815

Mailing address

307 South Main St
Reidsville, NC 27320-3815
Phone (336) 342-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101210000851 NC Practitioner - Podiatry 9133228950 Reassigns benefits to 1 organization
I20110211000329 VA Practitioner - Podiatry 9133228950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockingham Foot and Ankle AssociatesGroup PAC ID 6002045234, shared by 2 NPIs, 2 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

1045 Main St
Danville, VA 24541-1800
Phone (434) 836-3338

165 Holt Garrison Pkwy
Danville, VA 24540-5949
Phone (434) 688-0163

307 S Main St
Reidsville, NC 27320-3815
Phone (336) 342-5701

Hospital & facility affiliations

  • Unc Rockingham Hospital, Eden, NC, CCN 340060
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Sovah Health Danville Hospital, Danville, VA, CCN 490075

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of nail tissue868
Removal or shaving of skin growth197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
557NCMDAddiction (Substance Use Disorder) Counselor
00290KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham Foot & Ankle Associates Foot & Ankle Surgery CurrentSince Nov 16, 2013 Accepting new patients
Rockingham Foot & Ankle Associates Foot & Ankle Surgery CurrentSince Jan 1, 2013 Accepting new patients
Louisville Foot and Ankle Associates, PLLC Foot & Ankle Surgery Past Accepting new patients

Locations

519 S Van Buren Rd
Ste D
Eden, NC 27288
Phone (336) 627-4861

307 S Main St
Reidsville, NC 27320
Phone (336) 342-5701

1045 Main St
Danville, VA 24541
Phone (434) 792-2277

1045 Main St
Ste 2
Danville, VA 24541
Phone (434) 799-3310

100 Vicar Pl
Danville, VA 24540
Phone (434) 836-3338

Organizations & group practices 3

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 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1245266089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SOUTH MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203815",
            "telephone_number": "336-342-5701",
            "fax_number": "336-342-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SOUTH MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203815",
            "telephone_number": "336-342-5701",
            "fax_number": "336-342-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "BENJAMIN",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00290",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.