Individual provider Active NPI

Camilo Benitez, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
National Provider Identifier
1285977512
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4280 Issued in FL
Practice address
3940 Radio Rd Ste 104
Naples, FL 34104-3740
Phone
(239) 300-9722
Fax
(239) 399-3816
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006791 NY
Foot & Ankle Surgery Podiatrist 213ES0103X PO4280 FL Primary

Addresses

Primary practice location

3940 Radio Rd Ste 104
Naples, FL 34104-3740

Mailing address

5171 Coral Wood Dr
Naples, FL 34119-1455
Phone (347) 581-7018

Other practice location 1

16216 Union Tpke Ste 306
Fresh Meadows, NY 11366-1960
Phone (718) 380-7900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202001474 FL Practitioner - Podiatry 8628376399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3940 Radio Rd
Suite 104
Naples, FL 34104-3740
Phone (239) 300-9700

5171 Coral Wood Dr
Naples, FL 34119-1455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue109
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4280FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedirite Medical FL LLC CurrentSince Jan 1, 2022 Accepting new patients
Naples Foot and Ankle Group PA Foot & Ankle Surgery CurrentSince Jul 27, 2022 Accepting new patients
New York University PastSince Jul 1, 2017 Accepting new patients

Locations

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

3940 Radio Rd
Ste 104
Naples, FL 34104
Phone (239) 300-9700

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Interoperability endpoints

  • Direct secure messaging: camilo.benitez@themetropolitanfootgroup.chartmakerdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1285977512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 CORAL WOOD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191455",
            "telephone_number": "347-581-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 RADIO RD STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043740",
            "telephone_number": "239-300-9722",
            "fax_number": "239-399-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16216 Union Tpke Ste 306",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661960",
            "country_code": "US",
            "telephone_number": "718-380-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006791",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.