NPIMap

Individual provider Active NPI

Benjamin J. Willis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Webster City, IA
National Provider Identifier
1730438847
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
078225 Issued in IA
Practice address
2350 Hospital Dr
Webster City, IA 50595-6600
Phone
(515) 832-7800
Fax
(515) 832-1123
NPI assigned
Sep 5, 2012
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 147 WY
Podiatrist 213E00000X 220 SD
Foot & Ankle Surgery Podiatrist 213ES0103X 078225 IA Primary

Addresses

Primary practice location

2350 Hospital Dr
Webster City, IA 50595-6600

Mailing address

PO Box 430
Webster City, IA 50595-0430
Phone (515) 832-7800

Other identifiers 1

IdentifierTypeStateIssuer
1730438847OtherINDIVIDUAL NPI NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwill@vdmc.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806011738 IA Practitioner - Podiatry 7911211768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Hamilton County Public HospitalGroup PAC ID 1254241565, shared by 6 NPIs, 33 clinicians

Practice addresses (Care Compare)

2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220SDMDPodiatrist
147WYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Public Hospital CurrentSince Nov 7, 2018 Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Hamilton County Public Hospital CurrentSince Nov 7, 2018 Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Five Star Feet, PLLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bwill@vdmc.cernerdirect.com

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 3

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1730438847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505950430",
            "telephone_number": "515-832-7800",
            "fax_number": "515-832-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505956600",
            "telephone_number": "515-832-7800",
            "fax_number": "515-832-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "BENJAMIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WY",
            "license": "147",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "220",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "078225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1730438847",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwill@vdmc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.