Active NPI
Isaac Benowitz, MD
- Public Health & General Preventive Medicine Physician
- Augusta, ME
National Provider Identifier
1023303708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD25219
- Practice address
- 286 Water Street 8TH Floor 11 State House Station
Augusta, ME 04330 - Phone
- (207) 287-5183
- NPI assigned
- Jun 10, 2011
- Last updated
- Nov 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 276404 | NY | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD25219 | ME | Primary |
Addresses
Primary practice location
286 Water Street 8TH Floor 11 State House Station
Augusta, ME 04330
Mailing address
286 Water Street, 8TH Floor
11 State House Station
Augusta, ME 04330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120229000013 | MA | Order and Referring Only - Pediatric Medicine | 6103084777 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276404 | NY | MD | Pediatrics Physician |
| MD25219 | ME | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1023303708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 WATER STREET, 8TH FLOOR",
"address_2": "11 STATE HOUSE STATION",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 WATER STREET 8TH FLOOR 11 STATE HOUSE STATION",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330",
"telephone_number": "207-287-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOWITZ",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "276404",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "ME",
"license": "MD25219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.