Individual provider Active NPI

Benjamin W Edinger, M.D.

  • Diagnostic Radiology Physician
  • Clinton, MD
National Provider Identifier
1699746354
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D61849 Issued in MD
Practice address
7801 Old Branch Ave
Suite 300
Clinton, MD 20735-1608
Phone
(301) 856-6718
Fax
(301) 856-6722
NPI assigned
Jan 31, 2006
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Diagnostic Radiology Physician 2085R0202X D61849 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave
Suite 300
Clinton, MD 20735-1608

Mailing address

7801 Old Branch Ave
Suite 300
Clinton, MD 20735-1608
Phone (301) 856-6718

Other identifiers 2

IdentifierTypeStateIssuer
1699746354MedicaidVA
405986700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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
I20040804000829 DC Practitioner - Diagnostic Radiology 5698746428 Reassigns benefits to 1 organization
I20090120000716 MD Practitioner - Diagnostic Radiology 5698746428 Reassigns benefits to 2 organizations
I20090601000452 VA Practitioner - Diagnostic Radiology 5698746428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-5539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.71 of 100Reported as individual
Quality
52.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D61849MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 12, 2021 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 12, 2021 Accepting new patients
Inova Health Care Services CurrentSince Sep 1, 2017 Accepting new patients
Inova Health Care Services CurrentSince Sep 1, 2017 Accepting new patients
Inova Health Care Services Diagnostic Radiology CurrentSince Sep 1, 2017 Accepting new patients
Inova Health Care Services Current Accepting new patients
Washington Open MRI Inc Diagnostic Radiology PastSince Jan 1, 2005 Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

8926 Woodyard Rd
Ste 401
Clinton, MD 20735
Phone (301) 856-2420

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Organizations & group practices 10

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 5

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1699746354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "SUITE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "301-856-6718",
            "fax_number": "301-856-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "SUITE 300",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "301-856-6718",
            "fax_number": "301-856-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGER",
        "first_name": "BENJAMIN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D61849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699746354",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405986700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.