Individual provider Active NPI

Benjamin Shukert, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1033219878
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39715 Issued in CO
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

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
58205250MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702003707 FL Practitioner - Internal Medicine 2163550096 Reassigns benefits to 1 organization

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
Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians

Practice addresses (Care Compare)

203 N Marion St
FL 2
Tampa, FL 33602-4914
Phone (813) 428-6904

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39715COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC Hospitalist Current Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince Jul 7, 2024 Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.