Individual provider Active NPI

Samantha Benin, MD, MPH

  • Cardiovascular Disease Physician
  • Boca Raton, FL
National Provider Identifier
1396241915
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME175435 Issued in FL
Practice address
9250 Glades Rd Ste 108
Boca Raton, FL 33434-3958
Phone
(561) 463-8554
Fax
(561) 983-6045
NPI assigned
Apr 3, 2018
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A173499 CA
Internal Medicine Physician 207R00000X ME175435 FL
Cardiovascular Disease Physician 207RC0000X A173499 CA
Cardiovascular Disease Physician 207RC0000X ME175435 FL Primary
Hospitalist Physician 208M00000X ME175435 FL

Addresses

Primary practice location

9250 Glades Rd Ste 108
Boca Raton, FL 33434-3958

Mailing address

9250 Glades Rd Ste 108
Boca Raton, FL 33434-3958
Phone (561) 463-8554

Other practice location 1

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-0550

Other practice location 2

2250 S Main St Ste 201
Corona, CA 92882-2536
Phone (951) 734-4880

Other practice location 3

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3200

Other practice location 4

13340 Metro Pkwy Ste 200
Fort Myers, FL 33966-4818
Phone (239) 343-0550

Other identifiers 1

IdentifierTypeStateIssuer
130435900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220531002599 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527446756 Reassigns benefits to 3 organizations
I20251217004790 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8527446756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Physician Network, IncGroup PAC ID 4880910405, 8 clinicians
Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians
Beninmed PLLCGroup PAC ID 2961997937, 2 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 201
Corona, CA 92882-2536
Phone (951) 621-3232

500 University Blvd
Suite 116
Jupiter, FL 33458-2774
Phone (772) 286-9400

9250 Glades Rd
Suite 108
Boca Raton, FL 33434-3958
Phone (347) 450-6191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173499CAMDInternal Medicine Physician
ME175435FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Benin Medical Corporation Cardiovascular Disease Current Accepting new patients
Southern California Physician Network, Inc Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Beninmed PLLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 10, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 10, 2024 Accepting new patients
Stuart Cardiology Group LLC Cardiovascular Disease CurrentSince Jan 12, 2026 Accepting new patients
Citrus Valley Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

2250 S Main St
Ste 201
Corona, CA 92882
Phone (951) 621-3232

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

21218 Saint Andrews Blvd
Boca Raton, FL 33433
Phone (954) 266-0741

9250 Glades Rd
Ste 108
Boca Raton, FL 33434
Phone (561) 463-8554

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

500 University Blvd
Ste 116
Jupiter, FL 33458
Phone (561) 627-4377

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBGAED/Endpoint/FBGAED

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1396241915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD STE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343958",
            "telephone_number": "561-463-8554",
            "fax_number": "561-983-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD STE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343958",
            "telephone_number": "561-463-8554",
            "fax_number": "561-983-6045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-343-0550",
            "fax_number": "239-343-4013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928822536",
            "country_code": "US",
            "telephone_number": "951-734-4880",
            "fax_number": "951-734-7963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014135",
            "country_code": "US",
            "telephone_number": "951-788-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13340 Metro Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339664818",
            "country_code": "US",
            "telephone_number": "239-343-0550",
            "fax_number": "239-343-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENIN",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A173499",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME175435",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A173499",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME175435",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME175435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130435900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.