Benjamin Hough Evenchik, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

251813 Issued in MA

Practice address

40 Colt Rd
Pittsfield, MA 01201-6924

Phone

(413) 822-2553

NPI assigned

Jun 20, 2009

Last updated

Jan 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hallmark Health Urgent Care Physicians LLCGroup PAC ID 1153557616, 33 clinicians

Newburyport Emergency Physicians, PLLCGroup PAC ID 4688193071, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bevenchik158785@direct.bilh.masshiway.net
• Direct secure messaging: bevenchik28622@tuftsmedicine.direct-ci.com
• Direct secure messaging: vrhbevenc@yourcarecommunity.org

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.

• Hallmark Health Urgent Care Physicians LLC

  • Emergency Medicine Physician
  • Reading, MA
  • NPI 1184066912
  Medicare reassignment Care Compare group NPD
• Newburyport Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Newburyport, MA
  • NPI 1215724364
  Medicare reassignment Care Compare group NPD
• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Medicare reassignment NPD
• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  Medicare reassignment NPD
• Mass General Brigham Medical Group Western Massachusetts Inc

  • Family Medicine Physician
  • Northampton, MA
  • NPI 1295787919
  Medicare reassignment NPD
• Melrose Wakefield Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Melrose, MA
  • NPI 1790730539
  Medicare reassignment NPD
• Merrimack Valley Emergency Associates, Inc.

  • Emergency Medicine Physician
  • Lowell, MA
  • NPI 1821280959
  Medicare reassignment NPD
• Steward Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Ayer, MA
  • NPI 1780971275
  Medicare reassignment NPD
• Winchester Emergency Medical Associates PC

  dba Winchester Emergency Medical Associates

  • Emergency Medicine Physician
  • Winchester, MA
  • NPI 1831131473
  Medicare reassignment NPD
• Winchester Physician Associates, Inc

  • Internal Medicine Physician
  • Winchester, MA
  • NPI 1184606865
  Medicare reassignment NPD
• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204

  NH

  Medicare reassignment NPD
• Greater Newburyport Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Newburyport, MA
  • NPI 1396793139
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1821225558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COLT RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COLT RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016924",
            "telephone_number": "413-822-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENCHIK",
        "first_name": "BENJAMIN",
        "middle_name": "HOUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "251813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwina Assan Essuman, MD
• Roma Y Estevez, PMHNP-BC
• Eureka in Ragnarok LLC
• Sabrina Evangelisto
• Louis Evans, COTA/L
• Evergreen Mind and Wellness
• Expressive Arts Place LLC (Expressive Arts Place)
• Michael Anthony Fabrizio Jr., MD
• Sarah Fahrenkopf
• Fall River Psychiatry

• Emergency Medicine Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.

Verify at the official NPI Registry.