Benjamin Louis Konell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4871 Issued in CA

Practice address

4262 Woodbine Rd
Pace, FL 32571-8703

Phone

(850) 494-4600

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Richard Cohen Professional Chiropractic Corporation

  • Chiropractor
  • Redondo Beach, CA
  • NPI 1497835177
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164512224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718703",
            "telephone_number": "850-494-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718703",
            "telephone_number": "850-494-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONELL",
        "first_name": "BENJAMIN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC. # DR. KONELL",
            "identifier": "20A4871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids Talk Place LLC
• Robert Gerald Kincaid III, D.O.
• Janelle Suri King, M.S., CCC-SLP
• Matthew G. Kinzelman, MD
• Kristin Ashly Knoth
• Ann Kopelson, MD
• Haley Marie Kramer, MSW
• Wayne Kramer
• Neil Dawson Kuba
• Pamela Kuloba, NP

• Family Medicine Physician in Pace, FL
• Providers in Pace, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.