Active NPI
Benjamin Estrada, MD
- Pediatric Infectious Diseases Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 16964
- Practice address
- 1601 Center Street
Ste 1S
Mobile, AL 36604-3207 - Phone
- (251) 410-5437
- Fax
- (251) 434-3852
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16964 | AL | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 16964 | AL | Primary |
Addresses
Primary practice location
1601 Center Street
Ste 1S
Mobile, AL 36604-3207
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 410-5437
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991635 | Medicaid | LA | |
| 51504520 | Other | AL | BCBS KPG |
| 000088154 | Medicaid | AL | |
| 255604900 | Medicaid | FL | |
| 51088154 | Other | AL | BLUE CROSS |
| 12-10131 | Other | AL | UNITED HEALTH CARE |
| 00111730 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000
75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16964 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health - Mci Business Services LLC | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Pediatrics | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Pediatrics | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients |
Locations
1601 Center St
Mobile, AL 36604
Phone (251) 410-5437
1504 Spring Hill Ave
#1722
Mobile, AL 36604
Phone (251) 405-5124
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1601 Center St
Ste 1S
Mobile, AL 36604
Phone (251) 410-5437
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Pediatrics
-
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
-
- Hematology & Oncology Physician
- Mobile, AL
- NPI 1952972812
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
- Radiation Oncology Physician
- Mobile, AL
- NPI 1871150508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1659325116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40480",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400480",
"telephone_number": "251-410-5437",
"fax_number": "251-434-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CENTER STREET",
"address_2": "STE 1S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043207",
"telephone_number": "251-410-5437",
"fax_number": "251-434-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "16964",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "AL",
"license": "16964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1991635",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KPG",
"identifier": "51504520",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000088154",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255604900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51088154",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "12-10131",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00111730",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.