Individual provider Active NPI

Benjamin Patrick Blanks, MPAS, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1821178666
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008229 Issued in VA
Practice address
1975 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0167
Phone
(757) 321-3300
Fax
(757) 321-3330
NPI assigned
Oct 16, 2006
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008229 VA Primary

Addresses

Primary practice location

1975 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0167

Mailing address

230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3300

Other practice location 1

3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001399 VA Practitioner - Physician Assistant 0042431207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 Camelot Dr
Suite 300
Virginia Beach, VA 23454-2440
Phone (757) 321-3300

1975 Glenn Mitchell Dr
Suite 200
Virginia Beach, VA 23456-0167
Phone (757) 321-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Dec 20, 2021 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Oct 9, 2023 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Oct 9, 2023 Accepting new patients
Orthovirginia, Inc CurrentSince Dec 20, 2021 Accepting new patients
Vann Virginia Center for Orthopaedics Past Accepting new patients
Vann-Virginia Center for Orthopaedics PC Past Accepting new patients
Macon Orthopaedic & Hand Center, PA Physician Assistant Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1975 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 321-3383

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

Interoperability endpoints

  • Direct secure messaging: cbrown446886@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1821178666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE STE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102404",
            "country_code": "US",
            "telephone_number": "478-745-4206",
            "fax_number": "478-254-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKS",
        "first_name": "BENJAMIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.