Active NPI
Raphael T. Benaksas
- Internal Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.42182
- Practice address
- 3690 Grandview Pkwy
Birmingham, AL 35243-3326 - Phone
- (205) 971-5745
- NPI assigned
- Apr 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.42182 | AL | Primary |
Addresses
Primary practice location
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Mailing address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-5745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220822002224 | AL | Practitioner - Hospitalist | 5698158707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-8100
Hospital & facility affiliations
- Shelby Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.42182 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| BBH SBMC, LLC | Past | Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL
-
- General Acute Care Hospital
- Alabaster, AL
- NPI 1811341167
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": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1154884930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 GRANDVIEW PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433326",
"telephone_number": "205-971-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 GRANDVIEW PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433326",
"telephone_number": "205-971-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAKSAS",
"first_name": "RAPHAEL",
"middle_name": "T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.42182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- Anyet Belyeu
- Francis Warren Bemis, M.D.
- Rainey Rose Bemis
- Joseph Reece Bemowski, PT, DPT
- Christina Joanne Bemrich-Stolz, MD
- Benchmark Physical Therapy of Alabama, LLC
- Benchmark Physical Therapy of Alabama, LLC
- Benchmark Physical Therapy of Alabama, LLC
- Benchmark Physical Therapy of Alabama, LLC
- Jennifer Lauren Bendall, RDN, CDCES
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.