Individual provider Active NPI

Benjamin Blaine Jones, M.D.

  • Dermatology Physician
  • Yakima, WA
National Provider Identifier
1508250432
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD61111284 Issued in WA
Practice address
3911 Castlevale Rd
Ste 301
Yakima, WA 98902-7807
Phone
(232) 439-0776
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10118459-1205 UT
Dermatology Physician 207N00000X MD61111284 WA Primary

Addresses

Primary practice location

3911 Castlevale Rd
Ste 301
Yakima, WA 98902-7807

Mailing address

3911 Castlevale Rd
Ste 301
Yakima, WA 98902-7807
Phone (509) 966-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20201214002615 WA Practitioner - Dermatology 7416262506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Yakima Valley Dermatology Inc PSGroup PAC ID 9830081470, 8 clinicians

Practice addresses (Care Compare)

3911 Castlevale Rd
Suite 301
Yakima, WA 98902-7807
Phone (509) 966-7899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.96 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of skin lesions642
Removal of skin cancer334
Removal or shaving of skin growth173
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10118459-1205UTMDDermatology Physician
MD61111284WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Dermatology Inc. , PS Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients

Locations

3911 Castlevale Rd
Yakima, WA 98902
Phone (509) 453-8231

3911 Castlevale Rd
Ste 301
Yakima, WA 98902
Phone (509) 453-8231

Interoperability endpoints

  • Direct secure messaging: benjamin@valley.emadirect.md

Organizations & group practices 2

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 1

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1508250432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD",
            "address_2": "STE 301",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "509-966-7899",
            "fax_number": "509-225-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD",
            "address_2": "STE 301",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "232-439-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BENJAMIN",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "10118459-1205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD61111284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.