DR. BENJAMIN WALTER DONALD ILES (DO) – Student in an Organized Health Care Education/Training Program, NPI 1609292002

DR. BENJAMIN WALTER DONALD ILES (DO) is a healthcare provider. based in Columbus, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. OP61040926 (WA). The NPI Number for DR. BENJAMIN WALTER DONALD ILES (DO) is 1609292002

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN WALTER DONALD ILES (DO)
NPI
1609292002
Phone
(920) 327-1955
Address
1194 BENCHMARK PARK DR
Enumeration Date
10 March 2014
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
5416185800
Graduation Year
2014 (12 years ago)
PAC ID
0345506879
Group Practice PAC ID
2062303324
Professional Enrollment ID
I20200629000957
Address ID
WA981223961SE1433XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,805 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for DR. BENJAMIN WALTER DONALD ILES (DO)

  • 1194 BENCHMARK PARK DR

    COLUMBUS, OH 432203520

    Phone: (920) 327-1955

    Type: Mailing

  • 5100 W BROAD ST

    COLUMBUS, OH 432281607

    Phone: (614) 544-1000

    Fax: (614) 544-1751

    Type: Location

  • 19020 33RD AVE W STE 210

    LYNNWOOD, WA 980364748

    Phone: (425) 563-1500

    Fax: (425) 563-1374

    Type: Mailing

  • 500 17TH AVE

    SEATTLE, WA 981225711

    Phone: (206) 320-3700

    Fax: (206) 320-5955

    Type: Location

  • 4660 S Hagadorn Rd Ste 510

    East Lansing, MI 488236805

    Phone: (517) 353-5053

    Fax: (517) 884-7640

    Type: Location

  • 203 S Western Ave

    Tonasket, WA 988558803

    Phone: (509) 486-2151

    Fax: (509) 223-1640

    Type: Location

  • 4660 S Hagadorn Rd Ste 410

    East Lansing, MI 488236819

    Phone: (517) 353-5053

    Fax: (517) 884-7640

    Type: Location

  • 3220 Discovery Dr Ste 100

    Lansing, MI 489108609

    Phone: (517) 975-8930

    Fax: (517) 337-4985

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200629000957IDiagnostic RadiologyWATBD
I20241004003242IDiagnostic RadiologyCATBD
I20250310003425IDiagnostic RadiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view6564$0
70450Ct scan head or brain without contrast2828$0
76770Complete ultrasound scan behind abdominal cavity2424$0
72125Ct scan of upper spine without contrast2121$0
71046X-ray of chest, 2 views1818$0
View full utilization report →

Insurance plans in this area (ZIP 43220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062303324View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyWA
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Physician AssistantOR
Diagnostic RadiologyAR
Interventional Radiology, Diagnostic RadiologyOR
Diagnostic RadiologyOR
-OR
Diagnostic RadiologyWA

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Frequently asked questions

How do I look up DR. BENJAMIN WALTER DONALD ILES (DO) by NPI?
Use NPI 1609292002 when you need to reference DR. BENJAMIN WALTER DONALD ILES (DO) in forms, claims, or directories.
Is DR. BENJAMIN WALTER DONALD ILES (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. BENJAMIN WALTER DONALD ILES (DO) treat or focus on?
Patients typically see DR. BENJAMIN WALTER DONALD ILES (DO) under the specialty Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where does public data place DR. BENJAMIN WALTER DONALD ILES (DO)?
The snapshot lists Columbus, Ohio for DR. BENJAMIN WALTER DONALD ILES (DO); download NPPES for the complete set.
Is DR. BENJAMIN WALTER DONALD ILES (DO) a real provider?
This page reflects official NPPES data for NPI 1609292002. Always confirm identity and privileges with the practice and licensing boards.

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