Individual provider Active NPI

Delano Benjamin, M.D.

  • Adult Medicine Physician
  • Forestdale, AL
National Provider Identifier
1184800948
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD.24889 Issued in AL
Practice address
1480 Forestdale Blvd
Forestdale, AL 35214-3034
Phone
(205) 820-9050
Fax
(205) 820-9060
NPI assigned
Jan 11, 2008
Last updated
May 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD.24889 AL Primary

Addresses

Primary practice location

1480 Forestdale Blvd
Forestdale, AL 35214-3034

Mailing address

1480 Forestdale Blvd
Forestdale, AL 35214-3034
Phone (205) 820-9050

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120504000489 AL Practitioner - Family Practice 9931361144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.24889ALMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince May 1, 2018 Accepting new patients
Birmingham Internal Medicine Associates, LLC CurrentSince Apr 1, 2021 Accepting new patients
Baptist Health Centers LLC CurrentSince May 1, 2018 Accepting new patients

Locations

3915 Veterans Memorial Dr
Ste 106
Adamsville, AL 35005
Phone (205) 674-1222

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

1480 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 798-4339

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • Direct secure messaging: delano.benjamin.1@15135.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1184800948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 FORESTDALE BLVD",
            "city": "FORESTDALE",
            "state": "AL",
            "postal_code": "352143034",
            "telephone_number": "205-820-9050",
            "fax_number": "205-820-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 FORESTDALE BLVD",
            "city": "FORESTDALE",
            "state": "AL",
            "postal_code": "352143034",
            "telephone_number": "205-820-9050",
            "fax_number": "205-820-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "DELANO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "MD.24889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestdale, AL

Sources for this page

Verify at the official NPI Registry.