NPIMap

Individual provider Active NPI

Benjamin Jarrett, MD

  • Family Medicine Physician
  • Greenville, IL
National Provider Identifier
1245689793
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036150501 Issued in IL
Practice address
201 Health Care Dr
Greenville, IL 62246-1155
Phone
(618) 664-1380
NPI assigned
Jun 6, 2016
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036150501 IL Primary

Addresses

Primary practice location

201 Health Care Dr
Greenville, IL 62246-1155

Mailing address

201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bjarrett232617@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190913001486 IL Practitioner - Family Practice 9133492093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Holy Family Hospital IncGroup PAC ID 7517879349, 25 clinicians
Vituity - Illinois Auc LLPGroup PAC ID 0547516932, 35 clinicians

Practice addresses (Care Compare)

101 Health Care Dr
Greenville, IL 62246-1159
Phone (618) 664-1380

1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036150501ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde Single Specialty CurrentSince Oct 30, 2020 Accepting new patients
HSHS Prairie, Inc CurrentSince Oct 30, 2020 Accepting new patients
HSHS Holy Family Hospital Inc Single Specialty CurrentSince Aug 26, 2019 Accepting new patients
SJL Health Systems Inc CurrentSince Oct 30, 2020 Accepting new patients
Vituity - Illinois Auc LLP Single Specialty Current Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde Single Specialty CurrentSince Oct 30, 2020 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Oct 1, 2021 Accepting new patients
HSHS Prairie, Inc Single Specialty Current Accepting new patients
HSHS Holy Family Hospital Inc Single Specialty Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

9401 Holy Cross Ln
#112
Breese, IL 62230
Phone (618) 526-7271

9401 Holy Cross Ln
Ste 112
Breese, IL 62230
Phone (618) 206-2082

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

201 Health Care Dr
Greenville, IL 62246
Phone (618) 664-1380

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

Interoperability endpoints

  • Direct secure messaging: bjarrett232617@ewd.direct.hshs.org

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 8

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1245689793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461155",
            "telephone_number": "618-664-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461155",
            "telephone_number": "618-664-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036150501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjarrett232617@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "201 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622461155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.