Individual provider Active NPI

Joseph Benjamin, DO

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1578639779
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4295 Issued in AZ
Practice address
2710 Saint Francis Dr
Suite 111
Waterloo, IA 50702-5619
Phone
(319) 272-5000
Fax
(319) 272-8059
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4295 AZ Primary

Addresses

Primary practice location

2710 Saint Francis Dr
Suite 111
Waterloo, IA 50702-5619

Mailing address

2710 Saint Francis Dr
Suite 111
Waterloo, IA 50702-5619
Phone (319) 272-5000

Other identifiers 1

IdentifierTypeStateIssuer
1578639779MedicaidIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200127001392 NC Practitioner - Family Practice 1355361676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Duke Health Cary PL
Suite 110
Cary, NC 27519-6760
Phone (919) 385-4855

10211 Alm St
Raleigh, NC 27617-8221

1821 Hillandale Rd
Durham, NC 27705-2671

1901 Hillandale Rd
Durham, NC 27705-2664

267 S Churton St
Suite 200
Hillsborough, NC 27278-2696
Phone (919) 643-4511

3000 Rogers Rd
Wake Forest, NC 27587-5745

3044 Tower Blvd
Durham, NC 27707-2542
Phone (919) 490-9800

5716 Fayetteville Rd
Durham, NC 27713-9661
Phone (919) 572-1868

7021 Harps Mill Rd
Raleigh, NC 27615-3240
Phone (919) 576-8480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 130
Holly Springs, NC 27540
Phone (919) 385-5060

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

10950 Chapel Hill Rd
Ste A
Morrisville, NC 27560
Phone (919) 327-1630

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

Interoperability endpoints

  • Direct secure messaging: jbenjamin449760@direct.medicine.duke.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1578639779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR",
            "address_2": "SUITE 111",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025619",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR",
            "address_2": "SUITE 111",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025619",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578639779",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.