Active NPI
Andrew Benin, MD
- Internal Medicine Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME175342
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 173715 | CA | MD | Internal Medicine Physician |
| ME175342 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lasalle Medical Associates | Current | Accepting new patients | |
| Beninmed PLLC | Internal Medicine | Current | Accepting new patients |
| Lasalle Medical Associates | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Lasalle Medical Associates | Current | 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
- 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.
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1164301578
-
- Multi-Specialty Clinic/Center
- Fontana, CA
- NPI 1275661084
-
- Multi-Specialty Clinic/Center
- San Bernardino, CA
- NPI 1447388251
-
- Multi-Specialty Clinic/Center
- Rialto, CA
- NPI 1881150290
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
-
- Obstetrics & Gynecology Physician
- Ontario, CA
- NPI 1710478177
-
- Multi-Specialty Clinic/Center
- Redlands, CA
- NPI 1891892535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.