Individual provider Active NPI

Andrew Benin, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1548758006
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME175342 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 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME175342 FL Primary
Internal Medicine Physician 207R00000X 173715 CA

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

790 E Foothill Blvd
Rialto, CA 92376-5269
Phone (909) 546-7135

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
I20211007000585 CA Practitioner - Internal MedicinePractitioner - Family Practice 5294133104 Reassigns benefits to 1 organization
I20251217004820 FL Practitioner - Internal Medicine 5294133104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lasalle Medical AssociatesGroup PAC ID 1557301744, 4 clinicians
Beninmed PLLCGroup PAC ID 2961997937, 2 clinicians

Practice addresses (Care Compare)

790 E Foothill Blvd
Suite D
Rialto, CA 92376-5269
Phone (909) 546-7135

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173715CAMDInternal Medicine Physician
ME175342FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Medical Associates Current Accepting new patients
Beninmed PLLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Lasalle Medical Associates CurrentSince Aug 1, 2021 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Lasalle Medical Associates CurrentSince Aug 1, 2021 Accepting new patients
Lasalle Medical Associates Past Accepting new patients
Joseph M Molina MD Professional Corporation - Southern California Past Accepting new patients

Locations

17577 Arrow Blvd
Fontana, CA 92335
Phone (909) 823-4454

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

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

790 E Foothill Blvd
Rialto, CA 92376
Phone (909) 237-2458

790 E Foothill Blvd
#D
Rialto, CA 92376
Phone (909) 546-7135

790 E Foothill Blvd
Ste D
Rialto, CA 92376
Phone (909) 546-7135

565 N Mount Vernon Ave
Sn Bernrdno, CA 92411
Phone (909) 884-9091

21218 Saint Andrews Blvd
Boca Raton, FL 33433
Phone (561) 455-9924

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

Interoperability endpoints

  • Direct secure messaging: andrewbenin@sbpc.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1548758006",
    "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": "790 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765269",
            "country_code": "US",
            "telephone_number": "909-546-7135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENIN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME175342",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "173715",
            "primary": false
        }
    ],
    "identifiers": [],
    "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.