Benew a Professional LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BENEW A PROFESSIONAL LLC

Practice address

9500 Medical Center Dr Ste 105
Largo, MD 20774-3703

Phone

(301) 615-4133

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uloma Ibe, MDNPI 1649667940

Title

Managing Member

Phone

(202) 704-3010

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uloma C Ibe, MD

  • Family Medicine Physician
  • Largo, MD
  • NPI 1649667940
  Medicare reassignment NPD Authorized official
• Paul Newman, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Largo, MD
  • NPI 1013361054
  Medicare reassignment NPD
• Nicole Marie Weidinger, NP

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1467642173

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1629789573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 105",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743703",
            "telephone_number": "301-615-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 105",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743703",
            "telephone_number": "301-615-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEW A PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "IBE",
        "authorized_official_first_name": "ULOMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "202-704-3010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@benewhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "ADMIN EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9500 Medical Center Dr Ste 105",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207743703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Wycliff Bedeau, M.D.
• Behavioral Health-Prince Georges Health
• Luis Roberto Bejar Saona, MD
• Tarek Ahmed Awad Belal, MD
• Tanya Bender Henderson, PHD
• Erika M Benns, MD
• Tadele Feyera Berisa
• Mautez Amia Bethel, LCPC
• Beyond the Basics Speech & Language Therapy
• Bezwen at Home, LLC.

• Family Medicine Physician in Largo, MD
• Providers in Largo, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.