Individual provider Active NPI

Benjamin Walter Donald Iles, DO

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1609292002
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OP61040926 Issued in WA
Practice address
500 17TH Ave
Seattle, WA 98122-5711
Phone
(206) 320-3700
Fax
(206) 320-5955
NPI assigned
Mar 10, 2014
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X OP61040926 WA
Diagnostic Radiology Physician 2085R0202X OP61040926 WA Primary
Diagnostic Radiology Physician 2085R0202X 5101025913 MI

Addresses

Primary practice location

500 17TH Ave
Seattle, WA 98122-5711

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 353-5053

Other practice location 2

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 3

4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053

Other practice location 4

3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200629000957 WA Practitioner - Diagnostic Radiology 0345506879 Reassigns benefits to 21 organizations
I20241004003242 CA Practitioner - Diagnostic Radiology 0345506879 Reassigns benefits to 5 organizations
I20250310003425 MI Practitioner - Diagnostic Radiology 0345506879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-7607

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

1229 Madison St
Suite 670
Seattle, WA 98104-3541
Phone (425) 563-1500

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 563-1500

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Oct 10, 2024 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 17, 2024 Accepting new patients
Swedish Health Services CurrentSince Dec 11, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 16, 2024 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jul 30, 2020 Accepting new patients
Msu Health Care Inc. Pediatric Radiology CurrentSince Mar 1, 2025 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince May 2, 2023 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 16, 2024 Accepting new patients
Swedish Health Services CurrentSince Dec 11, 2020 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Aug 1, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Oct 10, 2024 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 16, 2024 Accepting new patients
Wenatchee Valley Hospital CurrentSince Sep 1, 2022 Accepting new patients
Msu Health Care Inc. CurrentSince Mar 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Dec 11, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
Msu Health Care Inc Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Sep 3, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 16, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 10, 2024 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Aug 1, 2020 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
County of Santa Clara CurrentSince Oct 10, 2024 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Okanogan County Public Hospital Dist No 4 Past Accepting new patients

Locations (25 of 47)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1609292002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 17TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225711",
            "telephone_number": "206-320-3700",
            "fax_number": "206-320-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236805",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Discovery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108609",
            "country_code": "US",
            "telephone_number": "517-975-8930",
            "fax_number": "517-337-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILES",
        "first_name": "BENJAMIN",
        "middle_name": "WALTER DONALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "WA",
            "license": "OP61040926",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP61040926",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101025913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.