Individual provider Active NPI

Benjamin Luis Egusquiza, M.D.

  • Psychiatry Physician
  • Hollywood, FL
National Provider Identifier
1073889150
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME122406 Issued in FL
Practice address
3440 Hollywood Blvd Ste 360
Hollywood, FL 33021-6934
Phone
(954) 276-9200
Fax
(954) 276-0733
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME122406 FL Primary

Addresses

Primary practice location

3440 Hollywood Blvd Ste 360
Hollywood, FL 33021-6934

Mailing address

2900 Corporate Way # D
Miramar, FL 33025-3925
Phone (954) 276-5685

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address begusquiza296620@mhsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151019001239 FL Practitioner - Psychiatry 8426367244 Reassigns benefits to 2 organizations
I20211008000490 TX Practitioner - Psychiatry 8426367244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122406FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of Florida, P.a. Psychiatry CurrentSince Aug 10, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2025 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2025 Accepting new patients
Che Behavioral Health Services of Texas, P.a. Psychiatry CurrentSince Aug 1, 2021 Accepting new patients
Eastern Idaho Health Services Inc Past Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

3440 Hollywood Blvd
Ste 360
Hollywood, FL 33021
Phone (954) 276-9200

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Interoperability endpoints

  • Direct secure messaging: begusquiza296620@mhsdirect.net
  • Direct secure messaging: benjamin.egusquiza@hca3.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1073889150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY # D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD STE 360",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216934",
            "telephone_number": "954-276-9200",
            "fax_number": "954-276-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUSQUIZA",
        "first_name": "BENJAMIN",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME122406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "begusquiza296620@mhsdirect.net",
            "affiliation": "N",
            "address_1": "3440 Hollywood Blvd Ste 360",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.