Mr Benjamin R Proto, DPM - Medicare Podiatrist in Newport News, VA

Mr Benjamin R Proto, DPM is a medicare enrolled "Podiatrist" provider in Newport News, Virginia. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Tidewater Physicians Multispecialty Group Pc and his current practice location is 860 Omni Blvd, Suite 113, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 327-0657.

Mr Benjamin R Proto is licensed to practice in Virginia (license number 0103300835) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073506291.

Contact Information

Mr Benjamin R Proto, DPM
860 Omni Blvd, Suite 113,
Newport News, VA 23606
(757) 327-0657
(757) 327-0658

Map and Direction




Healthcare Provider's Profile

Full NameMr Benjamin R Proto
GenderMale
SpecialityPodiatry
Experience26 Years
Location860 Omni Blvd, Newport News, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Benjamin R Proto graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1073506291
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 12/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0749364388
  • Enrollment ID: I20080221000159

Medical Identifiers

Medical identifiers for Mr Benjamin R Proto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073506291NPI-NPPES
1073506291MedicaidVA
236542OtherVAANTHEM PROVIDER NUMBER
9304797MedicaidVA
58381OtherVAOPTIMA PROVIDER NUMBER
394596OtherVAMDIPA/MAMSI PROVIDER NUM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 0103300835 (Virginia)Secondary
213E00000XPodiatrist 0103300835 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bon Secours Home CareSuffolk, VAHome health agency
Sentara Careplex HospitalHampton, VAHospital
Sentara Williamsburg Regional Medical CenterWilliamsburg, VAHospital
Bon Secours Mary Immaculate HospitalNewport news, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidewater Physicians Multispecialty Group Pc2860398526252

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Benjamin R Proto allows following entities to bill medicare on his behalf.
Provider NameTidewater Physicians Multispecialty Group Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Benjamin R Proto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Benjamin R Proto, DPM
860 Omni Blvd, Suite 303,
Newport News, VA 23606

Ph: (757) 232-8777
Mr Benjamin R Proto, DPM
860 Omni Blvd, Suite 113,
Newport News, VA 23606

Ph: (757) 327-0657

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.