Individual provider Active NPI

Rachel S. Benn, DO

  • Family Medicine Physician
  • Lutherville, MD
National Provider Identifier
1558412239
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0058823 Issued in MD
Practice address
5 Westspring Way
Lutherville, MD 21093-1440
Phone
(410) 252-3207
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0058823 MD Primary

Addresses

Primary practice location

5 Westspring Way
Lutherville, MD 21093-1440

Mailing address

5 Westspring Way
Lutherville, MD 21093-1440
Phone (410) 252-3207

Other identifiers 1

IdentifierTypeStateIssuer
400475200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20100520000829 MD Practitioner - Family Practice 8820127392 Reassigns benefits to 3 organizations
I20150319001494 DC Practitioner - Family Practice 8820127392

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3635 Old Court Rd
Suite 511
Pikesville, MD 21208-3910
Phone (410) 241-6462

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0058823MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Benn LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Baltimore Suburban Health, LLC CurrentSince Nov 1, 2018 Accepting new patients

Locations

10085 Red Run Blvd
Ste 306
Owings Mills, MD 21117
Phone (410) 581-7804

3635 Old Court Rd
Ste 511
Pikesville, MD 21208
Phone (410) 241-6462

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14466/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachel.benn.1@27455.direct.athenahealth.com

Organizations & group practices 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1558412239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WESTSPRING WAY",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931440",
            "telephone_number": "410-252-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WESTSPRING WAY",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931440",
            "telephone_number": "410-252-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENN",
        "first_name": "RACHEL",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0058823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400475200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.