Individual provider Active NPI

Benjamin N Pinto, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1649327776
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
28124 Issued in WA
Practice address
3980 129TH PL SE Apt B201
Bellevue, WA 98006-5293
Phone
(206) 601-6149
Fax
(206) 219-5598
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 28124 WA Primary

Addresses

Primary practice location

3980 129TH PL SE Apt B201
Bellevue, WA 98006-5293

Mailing address

3980 129TH PL SE
B-201
Bellevue, WA 98006-5293
Phone (206) 601-6149

Other identifiers 1

IdentifierTypeStateIssuer
8527749MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000509 WA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0446144091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28124WAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care of Colorado, PC Geriatric Medicine PastSince Sep 1, 2010 Accepting new patients
Mobile Physician Network, LLC Geriatric Medicine PastSince Dec 5, 2015 Accepting new patients
Benjamin N Pinto MD PastSince Dec 27, 2007 Accepting new patients
John H. Addison MD PS Geriatric Medicine PastSince Mar 1, 2015 Accepting new patients
Erickson Health Medical Group of Michigan PC Geriatric Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1649327776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 129TH PL SE",
            "address_2": "B-201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065293",
            "telephone_number": "206-601-6149",
            "fax_number": "206-219-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 129TH PL SE APT B201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065293",
            "telephone_number": "206-601-6149",
            "fax_number": "206-219-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "BENJAMIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "28124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8527749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.