Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Benjamin J Pettus, MD, PHD

Individual provider Diagnostic Radiology Physician · NPI 1770596959

Dr. Benjamin J Pettus, MD, PHD is a Diagnostic Radiology in Newport News, Virginia. Graduated from Medical University of South Carolina College of Medicine in 2005, 21 years ago. Practices with Peninsula Radiological Associates Limited, a 64-clinician group and accepts Medicare assignment. Licensed in Missouri and Virginia.

Years since qualifying
21
Trained at
Medical University of South Carolina College of Medicine
Licensed in
MO, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

500 J Clyde Morris Blvd Riverside Regional Medical Ctr
Newport News, VA 23601-1929
Phone: (757) 594-4405
Fax: (757) 867-6587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101249325 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2010003256 (MO)

Record details

NPI number1770596959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJanuary 9, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Peninsula Radiological Associates Limited — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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