Active NPI
Benjamin Contreras, MD
- Interventional Pain Medicine Physician
- Columbus, OH
National Provider Identifier
1295788412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME62685
- Practice address
- 420 N James Rd
Columbus, OH 43219-1834 - Phone
- (614) 257-5000
- Fax
- (804) 435-2688
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101248788 | VA | |
| Interventional Pain Medicine Physician | 208VP0014X | ME62685 | FL | Primary |
Addresses
Primary practice location
420 N James Rd
Columbus, OH 43219-1834
Mailing address
420 N James Rd
Columbus, OH 43219-1834
Phone (614) 257-5000
Other practice location 1
95 Harris Rd
Kilmarnock, VA 22482-3845
Phone (804) 435-1107
Other practice location 2
95 Harris Rd
Kilmarnock, VA 22482-3845
Phone (804) 435-1107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18163 | Other | FL | FL BCBS NUMBER |
| P00214149 | Other | FL | MEDICARE RAILROAD |
| 371535300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28675 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Peace River Anesthesiology Associates PA | Past | Accepting new patients | |
| Charlotte Harbor Anesthesia PA | Anesthesiology | Past | Accepting new patients |
| Greater Miami Anesthesia Services, PA | Past | Accepting new patients | |
| Anesthesia Consultants of St Petersburg PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1982631800
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1912012642
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
-
- Specialist
- Homestead, FL
- NPI 1467407007
-
- Specialist
- Punta Gorda, FL
- NPI 1497737654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1295788412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191834",
"telephone_number": "614-257-5000",
"fax_number": "804-435-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191834",
"telephone_number": "614-257-5000",
"fax_number": "804-435-2688"
}
],
"practiceLocations": [
{
"address_1": "95 Harris Rd",
"address_purpose": "LOCATION",
"city": "Kilmarnock",
"state": "VA",
"postal_code": "224823845",
"country_code": "US",
"telephone_number": "804-435-1107",
"fax_number": "804-435-2688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Harris Rd",
"address_purpose": "LOCATION",
"city": "Kilmarnock",
"state": "VA",
"postal_code": "224823845",
"country_code": "US",
"telephone_number": "804-435-1107",
"fax_number": "804-435-2688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONTRERAS",
"first_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101248788",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME62685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS NUMBER",
"identifier": "18163",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00214149",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371535300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.