Benjamin Chaney
Individual provider Active NPI Anesthesiology Physician · Winfield, IL
NPI 1871019182 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1871019182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 036165987 (IL)
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190-1379 - Phone
- (630) 933-6675
- Fax
- (630) 933-2614
- NPI assigned
- Aug 17, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holyoke Medical Center Inc
Practice addresses (Care Compare)
575 Beech St
Holyoke, MA 01040-2223
Hospital & facility affiliations
- Holyoke Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, IL, NE, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221122001952 | TX | Practitioner - Anesthesiology | 0345591822 | Reassigns benefits to 2 organizations |
| I20240321001293 | IL | Practitioner - Anesthesiology | 0345591822 | |
| I20240529003859 | NE | Practitioner - Anesthesiology | 0345591822 | Reassigns benefits to 1 organization |
| I20250923002477 | MA | Practitioner - Anesthesiology | 0345591822 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036165987 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current |
Accepting new patients | |
| Bryan Hospital Kearney | Anesthesiology | Current |
Accepting new patients |
| Holyoke Medical Center, Inc. | Anesthesiology | Current |
Accepting new patients |
| Carlsbad Anesthesia Services LLC | Anesthesiology | Current |
Accepting new patients |
| Western Mass Physician Associates Inc | Anesthesiology | Current | Accepting new patients |
| Western Mass Physician Associates Inc | Current |
Accepting new patients | |
| Holyoke Medical Center, Inc. | Current |
Accepting new patients | |
| Bryan Hospital Kearney | Current |
Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714
10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826
575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35134464 | OH | |
| Surgery Physician | 208600000X | NA | CA | |
| Anesthesiology Physician | 207L00000X | 036165987 | IL | Yes |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190-1379
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Phone (847) 593-8460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87069 | Medicaid | CA |
Other providers in Winfield, IL
- Central Dupage Hospital Association
- Central Dupage Hospital Association
- Central Dupage Hospital Association
- Central Dupage Vision Center Inc.
- Linda S Chan
- Tiffany Yin Wong Chang
- Maureen Chapman
- Robert Arthur Chase
- Sana Sajid Chaudhry
- Stuart Hanchi Chen
All providers in Winfield, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.