Individual provider Active NPI

Ben Earl Kitchens, MD

  • Family Medicine Physician
  • Iuka, MS
National Provider Identifier
1912979592
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06296 Issued in MS
Practice address
302 Kaki St
Iuka, MS 38852
Phone
(662) 423-3662
Fax
(662) 423-2509
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

302 Kaki St
Iuka, MS 38852-1117
Phone (601) 423-3662

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Tishomingo Manor Nursing home, Iuka, MS, CCN 255218
  • Tishomingo Comm Living Center Nursing home, Iuka, MS, CCN 255127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080327000263 MS Practitioner - Family Practice 7911083225 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00007236ALMDFamily Medicine Physician
06296MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ben E. Kitchens Family Medicine CurrentSince Oct 1, 2001 Accepting new patients
Tishomingo Community Care Center LLC Past Accepting new patients

Locations

302 Kaki St
Iuka, MS 38852
Phone (601) 423-3662

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06296 MS Primary
Family Medicine Physician 207Q00000X 00007236 AL

Addresses

NPPES NPI Registry

Primary practice location

302 Kaki St
Iuka, MS 38852

Mailing address

302 Kaki St
Iuka, MS 38852
Phone (662) 423-3662

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00123644MedicaidMS
1558533158OtherMSGROUP NPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2010.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1912979592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KAKI ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-423-3662",
            "fax_number": "662-423-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KAKI ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-423-3662",
            "fax_number": "662-423-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "BEN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "06296",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00007236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123644",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1558533158",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.