Jerry Michael Benfield Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38836 Issued in KY

Practice address

801 Barret Ave
Ste 112
Louisville, KY 40204

Phone

(502) 200-8259

Fax

(502) 584-8379

NPI assigned

Dec 6, 2005

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN, KY2 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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Brody School of Medicine at East Carolina University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brooks Family Medical LLCGroup PAC ID 3577911569, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Green Meadows Health & Rehabilitation Nursing home, Mount Washington, KY, CCN 185464

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brooks Family Medical LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1659058261
  Medicare reassignment Care Compare group
• Gim of Kentucky PLLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1326411026
  Medicare reassignment NPD
• Simplicity Health Indiana

  • Nurse Practitioner
  • New Albany, IN
  • NPI 1699561779

  Internal Medicine

  Medicare reassignment NPD
• Icats Management Integrated Care and Transition Services LLC

  dba ICATS Mangement

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1033559240
  Authorized official Same address or phone
• Icats Lakeland LLC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1003256215
  Authorized official Same address or phone
• Md2U Missouri LLC

  dba Md2U Doctors Who Make House Calls

  • Primary Care Clinic/Center
  • Saint Louis, MO
  • NPI 1477867034
  Authorized official Same address or phone
• Md2U PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1578576690
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Md2U Louisiana LLC

  dba Md2U the Leader in Medical House Calls

  • Nurse Practitioner
  • New Orleans, LA
  • NPI 1275830655
  NPD (past)
• Md2U North Carolina LLC

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1720338247
  NPD (past)
• Md2U Ohio LLC

  dba MD2U The leader in Medical House Calls

  • Geriatric Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1750684197
  NPD (past)
• Md2U Tennessee LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1245672765
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Green Meadows SNF Operations LLC

  dba Green Meadows Health and Rehabilitation

  • Skilled Nursing Facility
  • Mt Washington, KY
  • NPI 1174343669

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1437133121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "address_2": "STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041732",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "address_2": "STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40204",
            "telephone_number": "502-200-8259",
            "fax_number": "502-584-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16605 Chestnut Glen Pl",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402456121",
            "country_code": "US",
            "telephone_number": "502-709-0430",
            "fax_number": "502-245-6651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Shelbyville Rd # 530",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225144",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9204 Taylorsville Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402991789",
            "country_code": "US",
            "telephone_number": "502-709-0430",
            "fax_number": "502-245-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENFIELD",
        "first_name": "JERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38836",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056286A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000365262",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00222068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2448540000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64097728",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Darlene Mason Bencomo, MD
• Robert Bendon
• Kelly Lyn Bendorf, LCSW
• Alyson Diane Benedetti, APRN
• Taylor Benedict, OTR/L
• Micah Benford, RPH
• Aaron Christopher Benge
• Helena Marie Benham
• Bailey Benidir, PHARMD
• Alduber Benitez

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.

Verify at the official NPI Registry.