Individual provider Active NPI

Benjamin L. Stradling, D.O.

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
National Provider Identifier
1821117912
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DO-4506 Issued in IA
Practice address
1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone
(480) 358-6578
Fax
(480) 358-6594
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036-113497 IL
Vascular & Interventional Radiology Physician 2085R0204X DO-4506 IA Primary
Diagnostic Radiology Physician 2085R0202X 4506 IA
Diagnostic Radiology Physician 2085R0202X 005042 AZ

Addresses

Primary practice location

1301 S Crismon Rd
Mesa, AZ 85209-3767

Mailing address

4200 University Ave
Ste 104
West Des Moines, IA 50266-5945
Phone (480) 889-6598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20131226001632 IA Practitioner - Diagnostic Radiology 7315028602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians
Iowa Radiology P CGroup PAC ID 2264323468, 37 clinicians
Iowa Diagnostic Imaging and Procedure Center, L CGroup PAC ID 1658263546, 36 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-5926

1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810

12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 228-9810

700 E University Ave
Unity Point Hosp
Des Moines, IA 50316-2302
Phone (515) 263-5612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.72 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
58.57

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
78.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4506IAMDDiagnostic Radiology Physician
036-113497ILMDDiagnostic Radiology Physician
DO-4506IAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BTX Iowa Inc CurrentSince Sep 1, 2015 Accepting new patients
Iowa Radiology, P C Diagnostic Radiology CurrentSince Jan 2, 2014 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology PastSince Aug 17, 2015 Accepting new patients
Chandler Radiology Associates LLC Diagnostic Radiology PastSince Dec 12, 2021 Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Associated Radiologists LTD PastSince Jan 1, 1991 Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1221 Pleasant St
Ste 350
Des Moines, IA 50309

625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

6000 University Ave
Ste 150
West Des Moines, IA 50266

4200 University Ave
Ste 104
West Des Moines, IA 50266
Phone (515) 961-0453

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Organizations & group practices 9

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 7

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1821117912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNIVERSITY AVE",
            "address_2": "STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665945",
            "telephone_number": "480-889-6598",
            "fax_number": "480-275-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "480-358-6578",
            "fax_number": "480-358-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADLING",
        "first_name": "BENJAMIN",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-113497",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "DO-4506",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "4506",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "005042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.