Individual provider Active NPI

Laila Benzakour Needham, MD

  • Obstetrics & Gynecology Physician
  • St Augustine, FL
National Provider Identifier
1528241700
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME104699 Issued in FL
Practice address
300 Health Park Blvd
Suite 3002
St Augustine, FL 32086-3707
Phone
(904) 819-1500
Fax
(904) 810-1023
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME104699 FL Primary

Addresses

Primary practice location

300 Health Park Blvd
Suite 3002
St Augustine, FL 32086-3707

Mailing address

300 Health Park Blvd
Suite 3002
St Augustine, FL 32086-3707
Phone (904) 819-1500

Other identifiers 1

IdentifierTypeStateIssuer
000947900MedicaidFL

Other names 1

  • Dr. Laila Benzakour Needham Professional name

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
I20091107000052 FL Practitioner - Obstetrics/Gynecology 3577601830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians
OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

199 S US Hwy 17
East Palatka, FL 32131-6071
Phone (386) 325-6699

300 Health Park Blvd
Suite 3002
Saint Augustine, FL 32086-3703
Phone (904) 819-1500

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (800) 967-2289

5 Boulder Rock Dr
Suite D
Palm Coast, FL 32137-8538
Phone (386) 246-2350

70 Turin Ter
Suite 200
Saint Augustine, FL 32092-0850
Phone (904) 819-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME104699FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 26, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 26, 2024 Accepting new patients
S S Marathe MD PA Past Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

700 Zeagler Dr
Ste 3
Palatka, FL 32177
Phone (386) 385-3591

5 Boulder Rock Dr
Ste D
Palm Coast, FL 32137
Phone (386) 246-2350

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

300 Health Park Blvd
Ste 3002
St Augustine, FL 32086
Phone (904) 819-1500

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lneedham742758@direct.shands.ufl.edu
  • Direct secure messaging: laila.needham.1@2183.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1528241700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD",
            "address_2": "SUITE 3002",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863707",
            "telephone_number": "904-819-1500",
            "fax_number": "904-810-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD",
            "address_2": "SUITE 3002",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863707",
            "telephone_number": "904-819-1500",
            "fax_number": "904-810-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "LAILA",
        "middle_name": "BENZAKOUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME104699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000947900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAILA",
            "last_name": "NEEDHAM",
            "middle_name": "BENZAKOUR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.