Benjamin Harrison Daniels, MD
Individual provider Active NPI Family Medicine Physician · Mount Vernon, IA
NPI 1992901268 · NPPES record last updated Aug 24, 2010
Key facts
- NPI
- 1992901268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37894 (IA)
- Practice address
- 200 Virgil Ave SE
Mount Vernon, IA 52314-1589 - Phone
- (319) 895-8841
- Fax
- (319) 895-8477
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Rehabilitation Associates LLC
Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429
200 Virgil Ave SE
Family Med Mt Vernon
Mount Vernon, IA 52314-1589
Phone (319) 895-8841
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
- Unitypoint at Home
- St Lukes Hospital
- Jones Regional Medical Center
- Mercy Medical Center - Cedar Rapids
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 35 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080211000267 | IA | Practitioner - Family Practice | 1759464084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37894 | IA | MD | Family Medicine Physician |
| R8109 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Genesis Health System | Family Medicine | Past | Accepting new patients |
| Genesis Medical Education Foundation Inc | Family Medicine | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
200 Virgil Ave SE
Mount Vernon, IA 52314
Phone (319) 378-8280
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
Interoperability endpoints
- bdaniels40467@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8109 | IA | |
| Family Medicine Physician | 207Q00000X | 37894 | IA | Yes |
Addresses
Primary practice location
200 Virgil Ave SE
Mount Vernon, IA 52314-1589
Mailing address
200 Virgil Ave SE
Mount Vernon, IA 52314-1589
Phone (319) 895-8841
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992901268 | Medicaid | IA |
Other providers in Mount Vernon, IA
- Ruth Clark
- Adam Clendenen
- Cornelius Chiropractic Centre, LTD.
- CR Pharmacy Service, Inc
- Madigan Jane Crowley
- Dawn M. Gaffney, DDS, LLC
- Eric J. Dybvig
- Douglas Charles Easker
- Ecotone Therapy Services PLLC
- Rebecca Rae Fetter
All providers in Mount Vernon, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.