Active NPI
John Benjamin, M.D.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MT206816
- Practice address
- 245 N. 15TH Street
Philadelphia, PA 19102 - Phone
- (215) 762-2365
- NPI assigned
- Jun 20, 2014
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19383 | NV | |
| Emergency Medicine Physician | 207P00000X | MT206816 | PA | Primary |
Addresses
Primary practice location
245 N. 15TH Street
Philadelphia, PA 19102
Mailing address
131 S 13TH St # 3F
Philadelphia, PA 19107-4903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4855 Blue Diamond Rd
Suite 100
Las Vegas, NV 89139-7602
Phone (702) 216-7305
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - North Las Vegas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT206816 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365
4855 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 216-7305
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.
-
- Emergency Medicine Physician
- Incline Village, NV
- NPI 1396585154
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1124868989
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1669272183
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1073329223
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457895336
-
- General Acute Care Hospital
- North Las Vegas, NV
- NPI 1578007514
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1740724780
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1922542968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1679987374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 S 13TH ST # 3F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N. 15TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "215-762-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "19383",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT206816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.