Individual provider Active NPI

Jeremy Evan Benjaminson, D.O.

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1366753204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14077 Issued in FL
Practice address
5831 Bee Ridge Rd Ste 210
Sarasota, FL 34233-5094
Phone
(941) 379-8481
Fax
(941) 379-3781
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0102202899 VA
Family Medicine Physician 207Q00000X 0102202899 VA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS14077 FL Primary

Addresses

Primary practice location

5831 Bee Ridge Rd Ste 210
Sarasota, FL 34233-5094

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

Other identifiers 1

IdentifierTypeStateIssuer
WLMLUOtherFLBCBS

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
I20170828002935 FL Practitioner - Family Practice 3870890981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians
Mastercare Physical Therapy IncGroup PAC ID 6103073499, 51 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

3844 Bee Ridge Rd
Sarasota, FL 34233-1163
Phone (941) 379-8481

3982 Bee Ridge Rd
Suite K
Sarasota, FL 34233-1210
Phone (941) 377-6700

8220 Natures Way
Apt 201
Lakewood Ranch, FL 34202-4208
Phone (800) 699-9395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14077FLMDFamily Medicine Physician
0102202899VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxhealth Now of Florida, LLC CurrentSince Aug 1, 2017 Accepting new patients
Florida Medical Specialists LLC CurrentSince Aug 1, 2017 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Florida Medical Specialists LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
HPP Physicians LLC CurrentSince Jul 16, 2023 Accepting new patients
Florida Medical Specialists LLC Family Medicine Past Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

5831 Bee Ridge Rd
Ste 210
Sarasota, FL 34233
Phone (941) 379-8481

3844 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 315-6182

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366753204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335094",
            "telephone_number": "941-379-8481",
            "fax_number": "941-379-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMINSON",
        "first_name": "JEREMY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102202899",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202899",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "WLMLU",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.