Benjamin Evans Wall, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

9700796 Issued in NC

Practice address

2800 Ashton Drive
Wilmington, NC 28412-2486

Phone

(910) 794-8892

Fax

(910) 794-8895

NPI assigned

Jul 25, 2006

Last updated

Aug 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physical Medicine and Rehabilitation

Education

Wake Forest University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lower Cape Fear Lifecare Hospice, Wilmington, NC, CCN 341515
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
• New Hanover Regional Medical Center Rehabilitation Inpatient rehabilitation facility, Wilmington, NC, CCN 34T141
• The Laurels of Pender Nursing home, Burgaw, NC, CCN 345298

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.wall@952.chartlogic.direct-ci.com
• Direct secure messaging: bwall1462341@direct.novanthealth.org

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.

• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519
  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  NC

  Medicare reassignment NPD
• Washington Township

  • Land Ambulance
  • Washington, MI
  • NPI 1881818912
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lower Cape Fear Hospice Incorporated

  dba Lower Cape Fear LifeCare

  • Community Based Hospice Care Agency
  • Wilmington, NC
  • NPI 1912962697
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Rehabilitation Hospital

  • Rehabilitation Hospital
  • Wilmington, NC
  • NPI 1508453754

  Inpatient rehabilitation facility

  Care Compare affiliation
• The Laurels of Pender, LLC

  • Skilled Nursing Facility
  • Burgaw, NC
  • NPI 1851836118

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1487677407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4217",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284061217",
            "telephone_number": "910-794-8892",
            "fax_number": "910-794-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122486",
            "telephone_number": "910-794-8892",
            "fax_number": "910-794-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "BENJAMIN",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NC",
            "license": "9700796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891073Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Arielle Walker, PA-C
• Michelle Lee Walker, LCSWA
• Rachel K Walker, DPT
• Renee T Walker, MSW, LCSWA
• Stephen Walker, FNP
• Callan E Wall, RD, LDN
• Renee V. Wall, PA-C
• Brooke Elizabeth Wallace, OTR/L
• Emma B. Wallace, LMFT
• John Wallace II, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.