Active NPI
Benjamin Taylor Mautner, MD
- Internal Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101281409
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-0816 - Phone
- (434) 924-1931
- Fax
- (434) 243-5770
- NPI assigned
- May 1, 2020
- Last updated
- Mar 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101281409 | VA | Primary |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-0816
Mailing address
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-1931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Winchester Medical Center | Past | Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Interoperability endpoints
- bmautner1429549@valleyhealth.direct-ci.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
DC
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
dba Valley Health Laboratories
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
Hospital
-
dba Valley Home Health / West Virginia
- Home Health Agency
- Romney, WV
- NPI 1871544213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1760003743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080816",
"telephone_number": "434-924-1931",
"fax_number": "434-243-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080816",
"telephone_number": "434-924-1931",
"fax_number": "434-243-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUTNER",
"first_name": "BENJAMIN",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-01",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101281409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.