Active NPI
Benjamin Shukert, M.D.
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39715
- Practice address
- 203 N Marion St FL 2
Tampa, FL 33602-4914 - Phone
- (813) 474-9804
- Fax
- (813) 540-6025
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39715 | CO | Primary |
| Hospitalist Physician | 208M00000X | 39715 | CO |
Addresses
Primary practice location
203 N Marion St FL 2
Tampa, FL 33602-4914
Mailing address
5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2719
Phone (303) 745-0000
Other practice location 1
5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2719
Phone (303) 745-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58205250 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 N Marion St
FL 2
Tampa, FL 33602-4914
Phone (813) 428-6904
Hospital & facility affiliations
- Tampa General Hospital
- HCA Florida South Tampa Hospital
- St Josephs Hospital
- H Lee Moffitt Cancer Center & Research Institute I
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39715 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Hospitalist | Current | Accepting new patients |
| Inpatient Specialists Group | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists Group | Internal Medicine | Current | Accepting new patients |
| Philippe G Lopez MD PC | Past | Accepting new patients |
Locations
700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992
1920 N High St
Denver, CO 80218
Phone (303) 220-9948
203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804
602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322
203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1073008579
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1952108763
-
- Hospitalist Physician
- Aurora, CO
- NPI 1447747654
-
- Critical Care Medicine (Internal Medicine) Physician
- Greenwood Village, CO
- NPI 1871526897
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1033219878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 DTC PKWY",
"address_2": "SUITE 400",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112719",
"telephone_number": "303-745-0000",
"fax_number": "303-708-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N MARION ST FL 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024914",
"telephone_number": "813-474-9804",
"fax_number": "813-540-6025"
}
],
"practiceLocations": [
{
"address_1": "5200 DTC Pkwy",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Greenwood Village",
"state": "CO",
"postal_code": "801112719",
"country_code": "US",
"telephone_number": "303-745-0000",
"fax_number": "303-708-1834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUKERT",
"first_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "39715",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "39715",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58205250",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.