NPIMap

Individual provider Active NPI

Conrad Henri Benoit, D.O.

  • Internal Medicine Physician
  • Hyannis, MA
National Provider Identifier
1629059985
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74996 Issued in MA
Practice address
687 W Main St
Hyannis, MA 02601-3421
Phone
(508) 771-8114
Fax
(508) 428-7081
NPI assigned
Nov 14, 2005
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74996 MA Primary

Addresses

Primary practice location

687 W Main St
Hyannis, MA 02601-3421

Mailing address

PO Box 278
Osterville, MA 02655-0278
Phone (508) 428-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000185 MA Practitioner - Internal Medicine 6305803115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Cod Primary Care LLCGroup PAC ID 5496014300, 7 clinicians

Practice addresses (Care Compare)

687 W Main St
Hyannis, MA 02601-3421
Phone (508) 771-8114

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Osterville Health Care PC Internal Medicine Current Accepting new patients
Cape Cod Primary Care LLC Internal Medicine CurrentSince Feb 6, 2021 Accepting new patients
Northern Indiana Emergency Physicians, LLP Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Past Accepting new patients

Locations

687 W Main St
Hyannis, MA 02601
Phone (508) 428-8114

10 Osterville West Barnstable Rd
Osterville, MA 02655
Phone (508) 428-2620

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1629059985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026550278",
            "telephone_number": "508-428-8114",
            "fax_number": "508-428-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013421",
            "telephone_number": "508-771-8114",
            "fax_number": "508-428-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "CONRAD",
        "middle_name": "HENRI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.