Individual provider Active NPI

Benjamin Homer McQuaide, M.D.

  • Diagnostic Radiology Physician
  • Richmond, KY
National Provider Identifier
1679503106
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28886 Issued in KY
Practice address
781 Eastern Byp
Richmond, KY 40475-2408
Phone
(859) 623-8827
Fax
(859) 623-8810
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28886 KY Primary

Addresses

Primary practice location

781 Eastern Byp
Richmond, KY 40475-2408

Mailing address

PO Box 1429
Frankfort, KY 40602-1429
Phone (502) 226-3858

Other identifiers 3

IdentifierTypeStateIssuer
64288863MedicaidKY
000000216573OtherKYANTHEM BLUE CROSS PIN
G04506OtherKYBLUEGRASS FAMILY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20031103000047 KY Practitioner - Diagnostic Radiology 3870405574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28886KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor County Hospital District Health Facilities Corporation CurrentSince Dec 20, 2023 Accepting new patients
Taylor County Hospital District Health Facilities Corporation CurrentSince Dec 20, 2023 Accepting new patients
Professional Radiology Associates, PSC Diagnostic Radiology PastSince Nov 3, 2003 Accepting new patients
Corbin Radiology, PLLC Diagnostic Radiology Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

Organizations & group practices 6

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.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679503106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021429",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 EASTERN BYP",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752408",
            "telephone_number": "859-623-8827",
            "fax_number": "859-623-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAIDE",
        "first_name": "BENJAMIN",
        "middle_name": "HOMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "28886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64288863",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PIN",
            "identifier": "000000216573",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "G04506",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.