NPIMap

Individual provider Active NPI

Benjamin C Schaffer, MD

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1245283902
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57994 Issued in FL
Practice address
2424 Enterprise Road
Suite C
Clearwater, FL 33763
Phone
(727) 799-6255
Fax
(813) 635-7865
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME57994 FL Primary
Infectious Disease Physician 207RI0200X ME57994 FL

Addresses

Primary practice location

2424 Enterprise Road
Suite C
Clearwater, FL 33763

Mailing address

PO Box 10744
Clearwater, FL 33757-0744
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
064561300MedicaidFL
110124214OtherFLRAILROAD MEDICARE

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
I20041113000087 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577527142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

2605 Enterprise Rd E
Suite 100
Clearwater, FL 33759-1067
Phone (727) 796-4396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME57994FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Jun 12, 1995 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Jun 12, 1995 Accepting new patients

Locations

2424 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 799-6255

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2605 Enterprise Rd E
Clearwater, FL 33759

2605 Enterprise Rd E
Ste 100
Clearwater, FL 33759
Phone (727) 796-4396

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1245283902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337570744",
            "telephone_number": "727-532-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 ENTERPRISE ROAD",
            "address_2": "SUITE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-799-6255",
            "fax_number": "813-635-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57994",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME57994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064561300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110124214",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.