Individual provider Active NPI

Benjamin Bautz, MD

  • Emergency Medicine Physician
  • Lawrence, MA
National Provider Identifier
1124440573
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
282946 Issued in MA
Practice address
1 General St
Lawrence, MA 01841-2997
Phone
(978) 683-4000
NPI assigned
Jan 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 282946 MA Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2997

Mailing address

1 General St
Lawrence, MA 01841-2997
Phone (978) 683-4000

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
I20201013003373 MA Practitioner - Emergency Medicine 4183995947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General HospitalGroup PAC ID 5092725200, 124 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone 97868340002979

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282946MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence General Hospital Emergency Medicine Current Accepting new patients
General Primary Care of Lawrence CurrentSince Jul 15, 2020 Accepting new patients
Lawrence General Hospital CurrentSince Jul 15, 2020 Accepting new patients

Locations

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

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 1

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": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1124440573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTZ",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-18",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "282946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.