Individual provider Active NPI

Benjamin Thomas Whigham, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1396183240
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
287412 Issued in NY
Practice address
635 W 165TH St
New York, NY 10032
Phone
(212) 305-9535
Fax
(212) 305-5523
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 287412 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

635 W 165TH St
New York, NY 10032

Mailing address

635 W 165TH St
New York, NY 10032-3724
Phone (212) 305-6709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180605002515 NY Practitioner - Ophthalmology 9234494667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

114 E 27TH St
New York, NY 10016-8969
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287412NYMDOphthalmology Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Ophthalmology Current Accepting new patients
Sight Medical Doctors PLLC CurrentSince Aug 1, 2019 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
North Shore Medical & Surgical Eye Care PC Ophthalmology PastSince Mar 4, 2012 Accepting new patients

Locations (25 of 29)

805 Broadway
Ste 106
Amityville, NY 11701
Phone (631) 957-3355

500 W Main St
Ste 210
Babylon, NY 11702
Phone (631) 957-3355

180 E Main St
Bay Shore, NY 11706
Phone (631) 665-0027

375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330

4277 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 731-5100

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

902 49th St
Brooklyn, NY 11219
Phone (718) 283-7999

590 Nicolls Rd
Ste 1
Deer Park, NY 11729

250 Patchogue Yaphank Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 289-0678

450 Mamaroneck Ave
Ste 402
Harrison, NY 10528
Phone (914) 949-9200

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

100 Motor Pkwy
Ste 110
Hauppauge, NY 11788

700 New York Ave
Lowr
Huntington, NY 11743

5515 Little Neck Pkwy
Ste L10
Little Neck, NY 11362
Phone (718) 352-6200

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

114 E 27th St
New York, NY 10016
Phone (212) 481-4000

133 Plandome Rd
Plandome, NY 11030
Phone (516) 482-3080

1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890

54 Commerce Ave
Ste 6
Riverhead, NY 11901

153 Main St
Sayville, NY 11782
Phone (631) 244-0300

260 E Middle Country Rd
Ste 109
Smithtown, NY 11787
Phone (631) 361-3577

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

186 Old Town Rd
Southampton, NY 11968
Phone (516) 283-3533

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1396183240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-6709",
            "fax_number": "212-305-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-9535",
            "fax_number": "212-305-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIGHAM",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "287412",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.