Individual provider Active NPI

Bennett William McAllister, MD

  • Psychiatry Physician
  • Port Charlotte, FL
National Provider Identifier
1275704157
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME104685 Issued in FL
Practice address
4161 Tamiami TRL Ste 304D
Port Charlotte, FL 33952-9254
Phone
(941) 625-5895
Fax
(941) 625-1047
NPI assigned
Mar 18, 2008
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME104685 FL Primary

Addresses

Primary practice location

4161 Tamiami TRL Ste 304D
Port Charlotte, FL 33952-9254

Mailing address

PO Box 512139
Punta Gorda, FL 33951-2139
Phone (941) 625-5895

Other practice location 1

900 SW Pine Island Rd Ste 207
Cape Coral, FL 33991-1982
Phone (941) 625-5895

Other practice location 2

7317 Merchant Ct Ste A
Lakewood Ranch, FL 34240-8464
Phone (941) 625-5895

Other identifiers 3

IdentifierTypeStateIssuer
CH842YOtherFLMEDICARE PTAN
017596500MedicaidFL
114514100MedicaidFL

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
I20091021000303 FL Practitioner - PsychiatryPractitioner - NeuropsychiatryPractitioner - Interventional Pain ManagementPractitioner - Addiction Medicine 6002953247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Human Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bennett W McAllister MD PAGroup PAC ID 3678617347, 8 clinicians

Practice addresses (Care Compare)

4161 Tamiami TRL
Port Charlotte, FL 33952-9254
Phone (941) 625-5895

7317 Merchant CT
Suite a
Lakewood Ranch, FL 34240-8464
Phone (941) 625-5895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett W McAllister MD PA Psychiatry CurrentSince Nov 23, 2009 Accepting new patients
Manuel Gallego MD PA Psychiatry Past Accepting new patients

Locations

7317 Merchant Ct
Ste A
Lakewood Ranch, FL 34240
Phone (941) 625-5895

2525 Harbor Blvd
Ste 312
Pt Charlotte, FL 33952
Phone (941) 228-3562

4161 Tamiami Trl
Ste 304D
Pt Charlotte, FL 33952
Phone (941) 625-5895

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1275704157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512139",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339512139",
            "telephone_number": "941-625-5895",
            "fax_number": "941-625-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 304D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529254",
            "telephone_number": "941-625-5895",
            "fax_number": "941-625-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 SW Pine Island Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339911982",
            "country_code": "US",
            "telephone_number": "941-625-5895",
            "fax_number": "941-625-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7317 Merchant Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342408464",
            "country_code": "US",
            "telephone_number": "941-625-5895",
            "fax_number": "941-625-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "BENNETT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME104685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CH842Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017596500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114514100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.