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DR. GARY GORDON BENJAMIN MD NPI 1164595286


NPI Information

NPI: 1164595286
Provider Name: DR. GARY GORDON BENJAMIN, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

DR. Gary Gordon Benjamin, MD is a vascular and interventional radiology radiology in Tacoma, WA with 32 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Gary Gordon Benjamin, MD NPI is 1164595286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1992

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402-900
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1164595286 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes (HCPCS:99144)
  • Ultrasound of head and neck (HCPCS:76536)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 5/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD00034148WASHINGTONNo
22085R0202XRadiologyDiagnostic RadiologyMD21111OREGONNo
32085R0204XRadiologyVascular & Interventional RadiologyMD00034148WASHINGTONYes
42085R0204XRadiologyVascular & Interventional RadiologyMD21111OREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10372658OTHERWASHINGTONL&I-DIAGNOSTIC IMAGING NW
2500670859MEDICAIDOREGON
30127162OTHERWASHINGTONL&I-TRA KING COUNTY
40186167OTHERWASHINGTONL&I-UNION AVE OPEN MRI
51031136MEDICAIDWASHINGTON
60335999OTHERWASHINGTONL&I-TRA REST OF WA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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