Individual provider Active NPI

Benjamin D Eskra, M.D.

  • Plastic Surgery Physician
  • Goldsboro, NC
National Provider Identifier
1922000678
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2009-00677 Issued in NC
Practice address
2400 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-1789
Phone
(919) 587-4400
Fax
(919) 587-4411
NPI assigned
Aug 12, 2005
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2009-00677 NC Primary

Addresses

Primary practice location

2400 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-1789

Mailing address

PO Box 250
Beaver, PA 15009-0250
Phone (800) 634-0201

Other identifiers 1

IdentifierTypeStateIssuer
5913214MedicaidNC

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
I20091029000594 NC Practitioner - Plastic and Reconstructive Surgery 0345280228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Innovation Way
Kinston, NC 28504-7619
Phone (919) 587-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Eskra Plastic Surgery, PLLC Plastic Surgery CurrentSince Sep 10, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Proserpi-Schlechter Center for Plastic Surgery PC PastSince May 20, 1995 Accepting new patients

Locations

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1001 Innovation Way
Kinston, NC 28504
Phone (252) 523-0241

Organizations & group practices 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1922000678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150090250",
            "telephone_number": "800-634-0201",
            "fax_number": "866-727-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-587-4400",
            "fax_number": "919-587-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKRA",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2009-00677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913214",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.