Benigno Feliciano, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME87151 Issued in FL

Practice address

1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333

Phone

(863) 679-2984

Fax

(863) 676-2086

NPI assigned

Nov 21, 2005

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
• Trucare Home Health Solutions LLC Home health agency, Lakeland, FL, CCN 687014
• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Melbourne, FL
  • NPI 1912013558

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Internal Medicine Institute

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1649433764
  Authorized official Same address or phone
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699
  NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• Omni Healthcare, Inc.

  • Specialist
  • Melbourne, FL
  • NPI 1134191323

  Internal Medicine

  NPD (past)
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Internal Medicine

  NPD (past)

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

• Adventhealth Polk North Inc

  dba AdventHealth Heart of Florida

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation
• Amedisys Florida, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Winter Haven, FL
  • NPI 1982662276
  Care Compare affiliation
• Trucare Home Health Solutions LLC

  • Home Health Agency
  • Lakeland, FL
  • NPI 1588052120
  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1689657959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534333",
            "telephone_number": "863-679-2984",
            "fax_number": "863-676-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534333",
            "telephone_number": "863-679-2984",
            "fax_number": "863-676-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "BENIGNO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270356400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Vision Services, P.a.
• Halim Farag, RPH
• Anthony Edward Faro III, B.S.,M.S.,D.C.,FIAMA
• Kellie A Faro, LMT
• Felicia a. Watts, LLC
• Natasha L Fenelon, APRN
• Rodolfo S Fernandez, MD
• Kaylee Fichthorn, PT, DPT
• Evelina Figueroa Nater, APRN
• Berneta Finney

• Internal Medicine Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.

Verify at the official NPI Registry.