Individual provider Active NPI

Benjamin Tyler Colwell, PA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1437787165
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
025691 Issued in NY
Practice address
501 New Karner Rd
Albany, NY 12205-3874
Phone
(518) 393-0391
NPI assigned
Mar 30, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 025691 NY Primary

Addresses

Primary practice location

501 New Karner Rd
Albany, NY 12205-3874

Mailing address

711 Troy Schenectady Rd Ste 201
Latham, NY 12110-2461
Phone (518) 783-3700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109000266 NY Practitioner - Physician Assistant 7517377260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1092 Route 222
Cortland, NY 13045-1831
Phone (607) 218-3708

1233 Arsenal St
Watertown, NY 13601-2213
Phone (315) 221-5289

1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204

200 E 1St St
Oswego, NY 13126-2662
Phone (315) 207-7391

271 Grant Ave
Suite 100
Auburn, NY 13021-1407
Phone (315) 704-6097

3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080

3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

4995 Wintersweet Dr
Liverpool, NY 13088-2176
Phone (315) 401-3210

6227 Thompson Rd
Syracuse, NY 13206-1405
Phone (315) 937-2007

6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

740 S Main St
Ithaca, NY 14850-5377
Phone (607) 319-4563

8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
79.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025691NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Dec 12, 2022 Accepting new patients
Ny Primary Care Practice, PC Past Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

Interoperability endpoints

  • Direct secure messaging: bcolwell1041963@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1437787165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-783-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053874",
            "telephone_number": "518-393-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "BENJAMIN",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-09-28",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.