Individual provider Active NPI

Benjamin Sines, M.D.

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1770970105
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2018-00509 Issued in NC
Practice address
130 Mason Farm Rd FL 4
Chapel Hill, NC 27599-7005
Phone
(919) 966-2533
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 209615 NC
Internal Medicine Physician 207R00000X 2018-00509 NC Primary

Addresses

Primary practice location

130 Mason Farm Rd FL 4
Chapel Hill, NC 27599-7005

Mailing address

125 Macnider HL
Campus Box 7005
Chapel Hill, NC 27599-7005

Other practice location 1

125 Macnider Hl
Campus 7005
Chapel Hill, NC 27599-7005
Phone (919) 966-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180813003036 NC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1355650870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00509NCMDInternal Medicine Physician
209615NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Nov 9, 2020 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jun 28, 2018 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Nov 9, 2020 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

102 Mason Farm Rd
Chapel Hill, NC 27514
Phone (919) 966-1459

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: bsines127390@direct.unc.nchie.net

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 and National Provider Directory roles.

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1770970105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MACNIDER HL",
            "address_2": "CAMPUS BOX 7005",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MASON FARM RD FL 4",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997005",
            "telephone_number": "919-966-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Macnider Hl",
            "address_2": "Campus 7005",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997005",
            "country_code": "US",
            "telephone_number": "919-966-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINES",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "209615",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-00509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.