Individual provider Active NPI

Benjamin J Pohl, PA-C

  • Physician Assistant
  • Muscatine, IA
National Provider Identifier
1851700116
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
074541 Issued in IA
Practice address
1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone
(563) 264-9100
Fax
(563) 264-9173
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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 074541 IA Primary

Addresses

Primary practice location

1518 Mulberry Ave
Muscatine, IA 52761-3433

Mailing address

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 264-9100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829001847 IA Practitioner - Physician Assistant 7315165503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity HealthcareGroup PAC ID 8224931548, 65 clinicians

Practice addresses (Care Compare)

1518 Mulberry Ave
Muscatine, IA 52761-3433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Unity Healthcare CurrentSince Jul 30, 2014 Accepting new patients
Unity Healthcare Physician Assistant CurrentSince Jul 30, 2014 Accepting new patients
Trinity Medical Center Physician Assistant Past Accepting new patients

Locations

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 101
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 201
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 202
Muscatine, IA 52761
Phone (563) 262-4115

3426 N Port Dr
Ste 100
Muscatine, IA 52761
Phone (563) 262-4101

3426 N Port Dr
Ste 200
Muscatine, IA 52761
Phone (563) 264-9508

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: bpohl206918@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity MuscatineMuscatine, IA, CCN 160013 Hospital Contracted Managing Employee
Corporate Director
Jan 28, 2021
Jan 28, 2021
Unitypoint Clinic - Express Care - North PortMuscatine, IA, CCN 168629 Rural health clinic Corporate Director Jan 28, 2021
Unitypoint Clinic - North PortMuscatine, IA, CCN 168630 Rural health clinic Corporate Director Jan 28, 2021
Unitypoint Clinic - Family Medicine - WiltonWilton, IA, CCN 168631 Rural health clinic Corporate Director Jan 28, 2021
Unitypoint Clinic - Primary Care - MulberryMuscatine, IA, CCN 168627 Rural health clinic Corporate Director Jan 28, 2021
Unitypoint Clinic - MulberryMuscatine, IA, CCN 168628 Rural health clinic Corporate Director Jan 28, 2021

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1851700116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9100",
            "fax_number": "563-264-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9100",
            "fax_number": "563-264-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHL",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "074541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.