BENJAMIN DAVID ST. CLAIR DO
NPI 1225567886
Allergy & Immunology - Allergy in Fort Carson, CO

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913(719) 526-7000 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2022, Mar 17, 2018, Jun 7, 2017 (3 updates tracked since 2017).

About Benjamin David St. Clair Do NPPES

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

BENJAMIN DAVID ST. CLAIR DO (NPI 1225567886) is an individual allergy provider in Fort Carson, Colorado, licensed in Indiana (02005568A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tripler Army Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2017).

NPPES Registry Identity

NPI1225567886
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameBENJAMIN DAVID ST. CLAIRCredential: DO
Location Address1650 COCHRANE CIR # B7500Fort Carson, CO 80913-4613
Mailing Address1650 Cochrane Cir # B7500Fort Carson, CO 80913-4613 · (719) 526-7000
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 27, 20223 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1225567886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in IN · 02005568A
Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

1650 COCHRANE CIR # B7500, Fort Carson, CO 80913

Secondary Practice Location 1

Location 11 Jarrett White RdTripler Army Medical Center, HI 96859-5001 · Phone (808) 433-6345

Other Identifiers 1

OtherVAD000Medicare Upin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Benjamin David St. Clair Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406271907
PECOS Enrollment IDI20240422000739
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.

Dietitian, Registered (Nutrition, Pediatric)
1650 COCHRANE CIR # B7500
FORT CARSON, CO 80913
Nurse Practitioner (Women's Health)
1650 COCHRANE CIR # B7500
FT CARSON, CO 80913
Pharmacist
1650 COCHRANE CIR # B7500
FORT CARSON, CO 80913
Physical Therapist
1650 COCHRANE CIR # B7500
FT CARSON, CO 80913
Family Medicine
1650 COCHRANE CIR # B7500
FT CARSON, CO 80913
Physician Assistant
1650 COCHRANE CIR # B7500
FT CARSON, CO 80913
Social Worker (Clinical)
1650 COCHRANE CIR # B7500
FT CARSON, CO 80913
Physician Assistant
1650 COCHRANE CIR # B7500
FORT CARSON, CO 80913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225567886, enumerated as an "individual" on June 07, 2017.

The provider is located at 1650 COCHRANE CIR # B7500 FORT CARSON, CO 80913 and the phone number is (719) 526-7000.

Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.