Individual provider Active NPI

Benjamin Contreras, MD

  • Interventional Pain Medicine Physician
  • Columbus, OH
National Provider Identifier
1295788412
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME62685 Issued in FL
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

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18163OtherFLFL BCBS NUMBER
P00214149OtherFLMEDICARE RAILROAD
371535300MedicaidFL

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

LicenseStateTypeSpecialty
28675FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.