Individual provider Active NPI

Benjamin Jon Marengo, D.O.

  • Cardiovascular Disease Physician
  • Rockingham, NC
National Provider Identifier
1912434614
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2023-01772 Issued in NC
Practice address
106 Physicians Park Dr
Rockingham, NC 28379-5204
Phone
(910) 417-4107
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5151010606 MI
Cardiovascular Disease Physician 207RC0000X 2023-01772 NC Primary

Addresses

Primary practice location

106 Physicians Park Dr
Rockingham, NC 28379-5204

Mailing address

106 Physicians Park Dr
Rockingham, NC 28379-5204
Phone (910) 417-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230901002193 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2668743824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-5 LLCGroup PAC ID 4284881012, 31 clinicians

Practice addresses (Care Compare)

106 Physicians Park Dr
Rockingham, NC 28379-5204
Phone (910) 417-4105

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Firsthealth Montgomery Memorial Hosp Hospital, Troy, NC, CCN 341303

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
65.05
Promoting interoperability
78
Improvement activities
40
Cost
87.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151010606MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2023 Accepting new patients
MCPC-5, LLC Cardiovascular Disease Current Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

120 Page Rd N
Pinehurst, NC 28374
Phone (910) 715-8691

106 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 417-4105

Interoperability endpoints

  • Direct secure messaging: bmarengo595535@direct.hfhs.org
  • Direct secure messaging: bmarengo114094@firsthealth.direct-ci.net
  • Direct secure messaging: bmarengo2703908@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1912434614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PHYSICIANS PARK DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795204",
            "telephone_number": "910-417-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PHYSICIANS PARK DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795204",
            "telephone_number": "910-417-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENGO",
        "first_name": "BENJAMIN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151010606",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2023-01772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.