Individual provider Active NPI

Benjamin Osborn Henkle, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lowell, MA
National Provider Identifier
1669630083
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
242530 Issued in MA
Practice address
2 Hospital Dr
2ND Floor
Lowell, MA 01852-1311
Phone
(978) 937-6460
Fax
(978) 937-6842
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 242530 MA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 242530 MA Primary

Addresses

Primary practice location

2 Hospital Dr
2ND Floor
Lowell, MA 01852-1311

Mailing address

2 Hospital Dr
2ND Floor
Lowell, MA 01852-1311
Phone (978) 937-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101103001020 MA Practitioner - Pain Management 1658565635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowell Spine and Pain AssociatesGroup PAC ID 9234388760, 3 clinicians

Practice addresses (Care Compare)

2 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 937-6460

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242530MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Spine and Pain Associates Physical Medicine & Rehabilitation CurrentSince Jun 4, 2012 Accepting new patients

Locations

2 Hospital Dr
Fl 2
Lowell, MA 01852
Phone (978) 937-6460

2 Hospital Dr
Lowell, MA 01852
Phone (978) 458-9872

Interoperability endpoints

  • Direct secure messaging: bhenkle31694@tuftsmedicine.direct-ci.com

Organizations & group practices 1

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1669630083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521311",
            "telephone_number": "978-937-6460",
            "fax_number": "978-937-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521311",
            "telephone_number": "978-937-6460",
            "fax_number": "978-937-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKLE",
        "first_name": "BENJAMIN",
        "middle_name": "OSBORN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "242530",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": "242530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.