BENJAMIN F WOOD MD
NPI 1043834864
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Active since June 08, 2020PECOS Enrolled
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-5480(844) 458-7916 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Jun 8, 2020 (2 updates tracked since 2020).

About Benjamin F Wood Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN F WOOD MD (NPI 1043834864) is an individual student in an organized health care education/training program in O Fallon, Illinois, licensed in Illinois (11020912A) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043834864
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN F WOODCredential: MD
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 233-5480 · Fax (844) 458-7916
Fax(844) 458-7916
Sole ProprietorYes
Enumeration DateJune 8, 2020
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1043834864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 11020912A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin F Wood Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Wood's NPI number?

The NPI number for Benjamin Wood is 1043834864. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Benjamin Wood located?

Benjamin Wood practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 233-5480.

What is Benjamin Wood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Wood enrolled in Medicare?

Yes. Benjamin Wood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Wood was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.