NPIMap

Individual provider Active NPI

Benjamin Fegale, MD

  • Vascular Surgery Physician
  • Riverside, CA
National Provider Identifier
1972982239
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A149972 Issued in CA
Practice address
7300 Magnolia Ave
Riverside, CA 92504-3849
Phone
(951) 278-8870
Fax
(951) 379-5310
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A149742 CA
Vascular Surgery Physician 2086S0129X A149972 CA Primary

Addresses

Primary practice location

7300 Magnolia Ave
Riverside, CA 92504-3849

Mailing address

7300 Magnolia Ave
Riverside, CA 92504-3849
Phone (951) 278-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427001125 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 4789049636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Mission Surgical Clinic IncGroup PAC ID 1456313501, 6 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 206
Corona, CA 92882-2507
Phone (951) 278-8870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.27 of 100Reported as group
Quality
77.47
Improvement activities
40
Cost
57.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal34
Leg revascularization (restoring blood flow)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149972CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Surgical Clinic, Inc. Surgery CurrentSince Jan 20, 2023 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

16124 Kasota Rd
Apple Valley, CA 92307

805 E Mountain View St
Barstow, CA 92311
Phone (760) 256-5026

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

800 Magnolia Ave
Ste 115
Corona, CA 92879
Phone (657) 235-9355

12523 Limonite Ave
Ste 400
Eastvale, CA 91752
Phone (951) 398-6868

14200 Meridian Pkwy
March Air Reserve Base, CA 92518

7300 Magnolia Ave
Riverside, CA 92504
Phone (951) 278-8870

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

14200 Meridian Pkwy
#101
Riverside, CA 92518
Phone (951) 653-0655

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bfegale@yourcarecommunity.org
  • Direct secure messaging: benjamin.fegale@msci.eclinicaldirectplus.com

Organizations & group practices 8

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 3

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1972982239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "951-278-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "951-278-8870",
            "fax_number": "951-379-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGALE",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A149742",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A149972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.