Individual provider Active NPI

Isaac Benowitz, MD

  • Public Health & General Preventive Medicine Physician
  • Augusta, ME
National Provider Identifier
1023303708
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD25219 Issued in ME
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000013 MA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6103084777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
276404NYMDPediatrics Physician
MD25219MEMDPublic 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

Verify at the official NPI Registry.