Individual provider Active NPI

Benjamin Devries, DO

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1164738159
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11511 Issued in FL
Practice address
1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Phone
(727) 600-8500
Fax
(877) 692-1943
NPI assigned
Aug 27, 2010
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11511 FL Primary
Family Medicine Physician 207Q00000X UO2557 FL

Addresses

Primary practice location

1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417

Mailing address

1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Phone (727) 600-8500

Other practice location 1

13540 Walsingham Rd
Largo, FL 33774
Phone (727) 593-5492

Other practice location 2

1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Phone (727) 600-8500

Other practice location 3

2025 Indian Rocks rd
Largo, FL 33774
Phone (727) 586-7103

Other identifiers 1

IdentifierTypeStateIssuer
103871800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://connect4.healow.com/apps/api/v1/fhir/activated_clinical_endpoints

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000546 FL Practitioner - Internal MedicinePractitioner - Family Practice 0244470235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1831 N Belcher Rd
Suite A3
Clearwater, FL 33765-1417
Phone (727) 600-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2557FLMDFamily Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1164738159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD STE A3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651417",
            "telephone_number": "727-600-8500",
            "fax_number": "877-692-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD STE A3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651417",
            "telephone_number": "727-600-8500",
            "fax_number": "877-692-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13540 Walsingham Rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "33774",
            "country_code": "US",
            "telephone_number": "727-593-5492",
            "fax_number": "727-593-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1831 N Belcher Rd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337651417",
            "country_code": "US",
            "telephone_number": "727-600-8500",
            "fax_number": "877-692-1943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Indian Rocks rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "33774",
            "country_code": "US",
            "telephone_number": "727-586-7103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11511",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO2557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103871800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://connect4.healow.com/apps/api/v1/fhir/activated_clinical_endpoints",
            "affiliation": "N",
            "address_1": "1831 N Belcher Rd Ste A3",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337651417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.