Active NPI
Benjamin K McInnes, MD
- Urology Physician
- N Charleston, SC
National Provider Identifier
1346200763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 8100
- Practice address
- 2687 Lake Park Dr
N Charleston, SC 29406-9100 - Phone
- (843) 572-0097
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 8100 | SC | Primary |
Addresses
Primary practice location
2687 Lake Park Dr
N Charleston, SC 29406-9100
Mailing address
2687 Lake Park Dr
N Charleston, SC 29406-9100
Phone (843) 572-0097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081002 | Medicaid | SC | |
| 1942242714 | Other | SC | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8100 | SC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1346200763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2687 LAKE PARK DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069100",
"telephone_number": "843-572-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2687 LAKE PARK DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069100",
"telephone_number": "843-572-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINNES",
"first_name": "BENJAMIN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "8100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081002",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1942242714",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.