Active NPI
Edilberto Benitez Jr., M.D
- Cardiovascular Disease Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME126193
- Practice address
- 1515 SW Archer Rd
Gainesville, FL 32608-1134 - Phone
- (305) 725-9421
- NPI assigned
- Mar 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME126193 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | ME126193 | FL | Primary |
Addresses
Primary practice location
1515 SW Archer Rd
Gainesville, FL 32608-1134
Mailing address
1515 SW Archer Rd
Gainesville, FL 32608-1134
Phone (305) 725-9421
Other practice location 1
2950 Cleveland Clinic Blvd Fl 33331
Weston, FL 33331-3609
Phone (954) 659-5488
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
- Cardiovascular Disease (Cardiology)
- Education
- Florida International Univ, College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
3901 University Blvd S
Suite 221
Jacksonville, FL 32216-4392
Phone (904) 423-0010
400 HLTH PK Blvd
BLDG 2ND
St Augustine, FL 32086-5784
Phone (352) 265-8200
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Hospital & facility affiliations
- HCA Florida Memorial Hospital
- Flagler Hospital
- HCA Florida Orange Park Hospital
- Baptist Health Medical Center - Jacksonville
- Memorial Satilla Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 77.66
- Promoting interoperability
- 70.54
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126193 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Heart & Vascular Center, PA | Cardiovascular Disease | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Internal Medicine | Current | Accepting new patients |
| Cardiology Interpreters Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients |
Locations
4565 US Highway 17
Ste 106
Fleming Isle, FL 32003
Phone (904) 269-4559
1515 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0916
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
3901 University Blvd S
Ste 237
Jacksonville, FL 32216
Phone (904) 732-6300
3901 University Blvd S
Ste 221
Jacksonville, FL 32216
Phone (904) 391-1206
6500 Fort Caroline Rd
Ste 4
Jacksonville, FL 32277
14810 Old Saint Augustine Rd
Ste 210
Jacksonville, FL 32258
Phone (904) 312-9810
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
14 Office Park Dr
Ste 1
Palm Coast, FL 32137
Phone (386) 446-2305
351 Town Plaza Ave
Ste 203
Ponte Vedra, FL 32081
Phone (904) 371-8260
100 Whetstone Pl
Ste 310
St Augustine, FL 32086
Phone (904) 217-7450
100 Whetstone Pl
Ste 102
St Augustine, FL 32086
Phone (904) 342-8300
70 Turin Ter
Ste 210
St Augustine, FL 32092
Phone (904) 342-8300
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ebenitez424971@direct.shands.ufl.edu
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1366795742
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Internal Medicine
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1477887149
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1104168673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081134",
"telephone_number": "305-725-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081134",
"telephone_number": "305-725-9421"
}
],
"practiceLocations": [
{
"address_1": "2950 Cleveland Clinic Blvd Fl 33331",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333313609",
"country_code": "US",
"telephone_number": "954-659-5488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENITEZ",
"first_name": "EDILBERTO",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-22",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME126193",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME126193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.