Benjamin Robert Ierardi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413

Phone

(410) 255-7900

NPI assigned

Feb 22, 2021

Last updated

Jul 30, 2021By 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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Medicine, LLCGroup PAC ID 2163698101, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13394/brand/1/csg/1/fhir/r4

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.

• Urgent Care Medicine, LLC

  dba AFC Urgent Care Edgewater

  • Urgent Care Clinic/Center
  • Edgewater, MD
  • NPI 1174804918
  Medicare reassignment Care Compare group
• Wisecare, LLC

  dba WiseCare Express Urgent Care Center

  • Urgent Care Clinic/Center
  • Pasadena, MD
  • NPI 1053728634
  Medicare reassignment NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1679167498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORFOLK ST",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464202",
            "telephone_number": "443-422-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD STE 102-103",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "410-255-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IERARDI",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Howle
• Kelly Huettner, RDN
• Erin Hume
• Elaine Sandra Hutchins, LPN
• Ic Health Services Inc
• Oluwatoyin O Ifesanya, PHARM.D.
• Luz Idanis Iglesias
• Chinedu Ikpemo
• Innovative Physical Therapy and Fitness Centers, LLC (Innovative Healthcare Centers)
• Ize LLC

• Physician Assistant in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.