Individual provider Active NPI

Benjamin Estrada, MD

  • Pediatric Infectious Diseases Physician
  • Mobile, AL
National Provider Identifier
1659325116
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
16964 Issued in AL
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

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1991635MedicaidLA
51504520OtherALBCBS KPG
000088154MedicaidAL
255604900MedicaidFL
51088154OtherALBLUE CROSS
12-10131OtherALUNITED HEALTH CARE
00111730MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000339 AL Practitioner - Pediatric Medicine 5496884645 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
16964ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Oct 6, 2019 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 6, 2019 Accepting new patients
University of South Alabama Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 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.

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

Verify at the official NPI Registry.