Active NPI
Benjamin Eli John Levy
- Obstetrics & Gynecology Physician
- Ponte Vedra, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME155730
- Practice address
- 400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237 - Phone
- (904) 640-8249
- Fax
- (904) 640-8250
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | ME155730 | FL | Primary |
Addresses
Primary practice location
400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
14546 Old Saint Augustine Rd Ste 305&311
Jacksonville, FL 32258-5468
Phone (904) 260-2255
Other practice location 2
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-5297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220623000081 | FL | Practitioner - Obstetrics/Gynecology | 5698028025 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of South Carolina School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Womens Care Florida LLC
Practice addresses (Care Compare)
14546 Old Saint Augustine Rd
Suite 305
Jacksonville, FL 32258-5472
Phone (904) 260-2255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
14546 Old St Augustine Rd
Ste 305
Jacksonville, FL 32258
Phone (904) 260-2255
9404 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 260-2255
9404 Waypoint Pl
Ste A
Jacksonville, FL 32257
10898 Baymeadows Rd
Ste 200
Jacksonville, FL 32256
Phone (904) 260-2255
14546 Old St Augustine Rd
Ste 311
Jacksonville, FL 32258
Phone (904) 260-2255
400 Colonnade Dr
Rm D2
Ponte Vedra, FL 32081
400 Colonnade Dr
Ste 230
Ponte Vedra Beach, FL 32081
Phone (904) 202-1795
5002 W Lemon St
Tampa, FL 33609
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
Interoperability endpoints
- benjamin.levy@wcfnf.eclinicaldirectplus.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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
FL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
FL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1568045573
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1669965596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONNADE DR STE 230",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320816237",
"telephone_number": "904-640-8249",
"fax_number": "904-640-8250"
}
],
"practiceLocations": [
{
"address_1": "14546 Old Saint Augustine Rd Ste 305&311",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585468",
"country_code": "US",
"telephone_number": "904-260-2255",
"fax_number": "904-260-2251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "89 W Copeland Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062002",
"country_code": "US",
"telephone_number": "321-841-5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVY",
"first_name": "BENJAMIN",
"middle_name": "ELI JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME155730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.