NPIMap

Individual provider Active NPI

Victor Benezra, MD

  • Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1235122896
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME89256 Issued in FL
Practice address
129 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-3006
Phone
(321) 405-3000
Fax
(321) 722-7070
NPI assigned
Aug 29, 2005
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME89256 FL
Gynecology Physician 207VG0400X ME89256 FL Primary

Addresses

Primary practice location

129 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-3006

Mailing address

129 W Hibiscus Blvd Ste a
Melbourne, FL 32901-3006
Phone (321) 405-3000

Other identifiers 3

IdentifierTypeStateIssuer
37523OtherFLFLORIDA BLUE
P01164043OtherFLRRMD
269282100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000481 FL Practitioner - Obstetrics/Gynecology 9133191265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-3006
Phone (321) 405-3000

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 the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89256FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benezra Gynecology Gynecology CurrentSince Feb 28, 2018 Accepting new patients

Locations

129 W Hibiscus Blvd
Ste A
Melbourne, FL 32901
Phone (321) 405-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJEBD/Endpoint/GCJEBD
  • Direct secure messaging: vbenezra69160@epicdirect.hf.org

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 6

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1235122896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W HIBISCUS BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013006",
            "telephone_number": "321-405-3000",
            "fax_number": "321-722-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013006",
            "telephone_number": "321-405-3000",
            "fax_number": "321-722-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEZRA",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME89256",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME89256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "37523",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMD",
            "identifier": "P01164043",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269282100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.