Individual provider Active NPI

Robert E Benedett, MD

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1194724211
Registry record updated Dec 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R3K52 Issued in MO
Practice address
1230 E Kingsley St
Suite a
Springfield, MO 65804-7211
Phone
(417) 720-4916
Fax
(417) 720-4917
NPI assigned
Jul 20, 2005
Last updated
Dec 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R3K52 MO Primary

Addresses

Primary practice location

1230 E Kingsley St
Suite a
Springfield, MO 65804-7211

Mailing address

1230 E Kingsley St
Suite a
Springfield, MO 65804-7211
Phone (417) 720-4916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Eye Institute of Joplin LLC Ophthalmology CurrentSince Dec 6, 2016 Accepting new patients
Eye Surgeons of Springfield, Inc. Ophthalmology PastSince May 29, 2001 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1905 W 32nd St
Ste 301
Joplin, MO 64804
Phone (417) 624-8408

1531 E Bradford Pkwy
Ste 100
Springfield, MO 65804

Interoperability endpoints

  • Direct secure messaging: rbenedett@ozarkretina.intellechartdirect.net
  • Direct secure messaging: robert.benedett@cernerdirect.coxhealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419033600000",
    "number": "1194724211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E KINGSLEY ST",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047211",
            "telephone_number": "417-720-4916",
            "fax_number": "417-720-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E KINGSLEY ST",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047211",
            "telephone_number": "417-720-4916",
            "fax_number": "417-720-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R3K52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.