Individual provider Active NPI

Benjamin Robert Macqueen, MD

  • Orthopaedic Surgery Physician
  • San Tan Valley, AZ
National Provider Identifier
1336357151
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
44763 Issued in AZ
Practice address
40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036
Phone
(480) 964-2908
Fax
(480) 833-2136
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 44763 AZ Primary

Addresses

Primary practice location

40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other practice location 1

2175 N Alma School Rd
Suite A104
Chandler, AZ 85224-2878
Phone (480) 655-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110930000554 AZ Practitioner - Orthopedic Surgery 7214052695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

40601 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7036
Phone (480) 964-2908

Hospital & facility affiliations

  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement26
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44763AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Orthopedic Specialists of North America PLLC Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Current Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Tuckahoe Orthopaedic Associates, LTD Orthopaedic Surgery PastSince Dec 18, 2022 Accepting new patients

Locations

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

3530 S Val Vista Dr
Ste B105
Gilbert, AZ 85297
Phone (480) 899-2101

2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

3033 N 44th St
Ste 120
Phoenix, AZ 85018
Phone (602) 631-3166

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Interoperability endpoints

  • Direct secure messaging: benjaminmacqueen@asjh.medalliesdirect.net
  • Direct secure messaging: benjamin.macqueen@ospi.directbygreenway.com

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 11

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1336357151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40601 N GANTZEL RD STE 103",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407036",
            "telephone_number": "480-964-2908",
            "fax_number": "480-833-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 N Alma School Rd",
            "address_2": "Suite A104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852242878",
            "country_code": "US",
            "telephone_number": "480-655-0425",
            "fax_number": "480-969-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACQUEEN",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "44763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.