Active NPI
Camilo Benitez, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 22 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 109 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4280 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedirite Medical FL LLC | Current | Accepting new patients | |
| Naples Foot and Ankle Group PA | Foot & Ankle Surgery | Current | Accepting new patients |
| New York University | Past | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1053049015
-
- General Practice Physician
- Debary, FL
- NPI 1750962023
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.