Individual provider Active NPI

Alberto Carlos Benedicto, M.D.

  • Diagnostic Radiology Physician
  • Lewiston, NY
National Provider Identifier
1679506117
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD438839 Issued in PA
Practice address
5300 Military Rd
Lewiston, NY 14092-1903
Phone
(716) 298-2356
Fax
(716) 298-2099
NPI assigned
Jul 8, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 226297 NY
Diagnostic Radiology Physician 2085R0202X 35.087898 OH
Diagnostic Radiology Physician 2085R0202X MD438839 PA Primary

Addresses

Primary practice location

5300 Military Rd
Lewiston, NY 14092-1903

Mailing address

PO Box 8000 Dept 570
Buffalo, NY 14267-0002
Phone (716) 535-0741

Other practice location 1

100 North Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6301

Other practice location 2

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3482

Other practice location 3

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-1256

Other practice location 4

713 Troy Schenectady Rd Ste 304
Latham, NY 12110-2490
Phone (518) 373-4448

Other practice location 5

2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4899

Other practice location 6

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5590

Other practice location 7

6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 706-2112

Other practice location 8

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1401

Other practice location 9

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4448

Other practice location 10

279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 880-6300

Other practice location 11

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3280

Other identifiers 6

IdentifierTypeStateIssuer
000530794001OtherNYBLUE CROSS BLUE SHIELD OF WESTERN NY
232588OtherNYPREFERRED CARE OF NY
090120000047OtherNYFIDELIS CARE OF NY
03024155MedicaidNY
P00658337OtherNYRAILROAD MEDICARE
2115334OtherNYINDEPENDENT HEALTH (IHA)

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081121000619 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2163427808 Reassigns benefits to 12 organizations
I20210513001585 GA Practitioner - Diagnostic Radiology 2163427808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Niagara Frontier Radiologic Associates PCGroup PAC ID 0345349387, 21 clinicians

Practice addresses (Care Compare)

Clarence Center, NY 14032
Phone (716) 573-1666

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

3730 Sheridan Dr
Amherst, NY 14226-1732
Phone (716) 633-8675

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226297NYMDDiagnostic Radiology Physician
35.087898OHMDDiagnostic Radiology Physician
MD438839PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Apr 30, 2024 Accepting new patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
Niagara Frontier Radiologic Associates PC Diagnostic Radiology CurrentSince Nov 27, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Ellis Hospital CurrentSince Sep 29, 2023 Accepting new patients
Upstate Radiology, PC CurrentSince Jun 12, 2024 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Apr 30, 2024 Accepting new patients
Imaging Subspecialist of New York Past Accepting new patients
Osu Radiology LLC Diagnostic Radiology PastSince Oct 1, 2005 Accepting new patients

Locations (25 of 38)

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

8395 Oswego Rd
Baldwinsville, NY 13027
Phone (315) 450-4898

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

601 E Church St
Elmira, NY 14901
Phone (607) 271-9860

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

160 Broad St
Hamilton, NY 13346
Phone (315) 824-7040

822 Main St
Ste 120
Hopewell Junction, NY 12533
Phone (845) 223-8100

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

192 Tower Dr
Ste 500
Middletown, NY 10941

4693 Commercial Dr
New Hartford, NY 13413
Phone (315) 507-5114

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

360 E 72nd St
Apt A2111
New York, NY 10021

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Olean, NY 14760
Phone (716) 372-0141

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

2 Empire Dr
Rensselaer, NY 12144
Phone (518) 286-3990

Interoperability endpoints

  • Direct secure messaging: abenedicto2009917@direct.trinity-health.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1679506117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 570",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-535-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903",
            "telephone_number": "716-298-2356",
            "fax_number": "716-298-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6301",
            "fax_number": "570-271-5976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3482",
            "fax_number": "518-271-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Main St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691025",
            "country_code": "US",
            "telephone_number": "585-786-1256",
            "fax_number": "585-786-1251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Troy Schenectady Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "fax_number": "518-373-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4899",
            "fax_number": "518-435-0738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "fax_number": "518-268-5534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 Shimer Dr",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140946412",
            "country_code": "US",
            "telephone_number": "716-706-2112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1401",
            "fax_number": "518-525-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "fax_number": "518-373-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121449518",
            "country_code": "US",
            "telephone_number": "518-880-6300",
            "fax_number": "518-283-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3280",
            "fax_number": "518-471-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDICTO",
        "first_name": "ALBERTO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "226297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.087898",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD438839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF WESTERN NY",
            "identifier": "000530794001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE OF NY",
            "identifier": "232588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE OF NY",
            "identifier": "090120000047",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03024155",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00658337",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH (IHA)",
            "identifier": "2115334",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.