NPIMap

Individual provider Active NPI

Benjamin Miller, D.O.

  • Family Medicine Physician
  • Marengo, IA
National Provider Identifier
1982991048
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04362 Issued in IA
Practice address
255 W Lucas St
Marengo, IA 52301-1331
Phone
(319) 741-6789
Fax
(319) 741-6791
NPI assigned
Jul 8, 2011
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04362 IA Primary

Addresses

Primary practice location

255 W Lucas St
Marengo, IA 52301-1331

Mailing address

255 W Lucas St
Marengo, IA 52301-1331
Phone (319) 741-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20130226000072 IA Practitioner - Family Practice 3971758848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marengo Memorial HospitalGroup PAC ID 0749199446, 37 clinicians

Practice addresses (Care Compare)

300 W May St
Marengo, IA 52301-1261
Phone 31964255438068

728 47TH Ave
Amana, IA 52203-8031
Phone (319) 225-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04362IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marengo Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Marengo Memorial Hospital Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Marengo Memorial Hospital CurrentSince Jul 1, 2014 Accepting new patients
Marengo Memorial Hospital Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

728 47th Ave
Amana, IA 52203
Phone (319) 225-8700

1500 Franklyn Ave
Marengo, IA 52301
Phone (319) 642-5533

255 W Lucas St
Marengo, IA 52301
Phone (319) 642-5213

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

402 S Walnut St
North English, IA 52316
Phone (319) 664-3211

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

498 N Highland St
Williamsburg, IA 52361
Phone (319) 642-8068

Interoperability endpoints

  • Direct secure messaging: bmiller44448@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marengo Family Medical ClinicMarengo, IA, CCN 168563 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Aug 1, 2014
Aug 1, 2014
North English Family Medical ClinicNorth English, IA, CCN 168643 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Feb 23, 2022
Feb 23, 2022
Victor Family Medical ClinicVictor, IA, CCN 168510 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Sep 1, 2021
Sep 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 8

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1982991048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LUCAS ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011331",
            "telephone_number": "319-741-6789",
            "fax_number": "319-741-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LUCAS ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011331",
            "telephone_number": "319-741-6789",
            "fax_number": "319-741-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "04362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, IA

Sources for this page

Verify at the official NPI Registry.