Individual provider Active NPI

Donald John Benz, MD

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1689669475
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00016331 Issued in WA
Practice address
650 N Devine Rd Ste B
Vancouver, WA 98661-6979
Phone
(360) 952-4457
Fax
(360) 828-7409
NPI assigned
Sep 16, 2005
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 MD00016331 WA Primary

Addresses

Primary practice location

650 N Devine Rd Ste B
Vancouver, WA 98661-6979

Mailing address

18 NW 20TH Ave
Battle Ground, WA 98604-4175
Phone (360) 952-4457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040419000265 WA Practitioner - Family Practice 9032104294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Medical Groups PCGroup PAC ID 9335430677, 9 clinicians

Practice addresses (Care Compare)

650 N Devine Rd
Suite B
Vancouver, WA 98661-6979
Phone (360) 952-4457

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00016331WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Medical Groups, PC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Donald Benz MD PLLC Family Medicine CurrentSince Mar 1, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
McLoughlin Family Practice Group Family Medicine Past Accepting new patients

Locations

15862 SW 72nd Ave
Ste 200
Portland, OR 97224

18 NW 20th Ave
Battle Ground, WA 98604
Phone (360) 952-4457

18 NW 20th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 952-4457

1405 SE 164th Ave
Ste 201
Vancouver, WA 98683
Phone (360) 256-1190

650 N Devine Rd
Ste B
Vancouver, WA 98661
Phone (360) 859-3280

Interoperability endpoints

  • Direct secure messaging: donald.benz.1@10370.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10370/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 2

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1689669475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NW 20TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044175",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N DEVINE RD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616979",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZ",
        "first_name": "DONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00016331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.