NPIMap

Individual provider Active NPI

Max F Benjamin, M.D

  • Specialist
  • Pembroke Pines, FL
National Provider Identifier
1649369208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 57110 Issued in FL
Practice address
17913 NW 7TH St Ste 104
Pembroke Pines, FL 33029-2811
Phone
(954) 885-1024
Fax
(954) 885-1340
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 57110 FL Primary

Addresses

Primary practice location

17913 NW 7TH St Ste 104
Pembroke Pines, FL 33029-2811

Mailing address

17913 NW 7TH St Ste 104
Pembroke Pines, FL 33029-2811
Phone (954) 885-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121214000131 FL Practitioner - NephrologyPractitioner - Internal Medicine 5496718215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18004 NW 6TH St
Suite 104
Pembroke Pines, FL 33029-2823
Phone (954) 885-1024

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 57110FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Kidney Associates PA Specialist CurrentSince Aug 1, 1996 Accepting new patients
Total Renal Care Inc PastSince Jan 31, 2006 Accepting new patients
La Familia Medical Center Inc Past Accepting new patients

Locations

18004 NW 6th St
Ste 104
Pembroke Pines, FL 33029
Phone (516) 462-6856

17913 NW 7th St
Ste 104
Pembroke Pines, FL 33029
Phone (954) 447-7784

Interoperability endpoints

  • Direct secure messaging: max.benjamin@direct.davitaphysiciansolutions.com
  • FHIR API: https://api.platform.athenahealth.com/19175/brand/1/csg/1/fhir/r4
  • Direct secure messaging: max.benjamin.1@19175.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 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649369208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-885-1024",
            "fax_number": "954-885-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-885-1024",
            "fax_number": "954-885-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MAX",
        "middle_name": "F",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 57110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.