Individual provider Active NPI

Benjamin Michael Mahon, M.D.

  • Emergency Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1699902874
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME114305 Issued in FL
Practice address
313 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone
(386) 254-4000
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 67063 GA
Emergency Medicine Physician 207P00000X ME114305 FL Primary

Addresses

Primary practice location

313 N Clyde Morris Blvd
Daytona Beach, FL 32114

Mailing address

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 254-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000116 FL Practitioner - Emergency Medicine 7517133135 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians

Practice addresses (Care Compare)

200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 293-1121

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

6945 Cypress Gardens Blvd
Winter Haven, FL 33884-3572
Phone (863) 422-4971

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
88.09
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67063GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jul 1, 2020 Accepting new patients
Halifax Healthcare Systems Inc Emergency Medicine CurrentSince Oct 23, 2012 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 25, 2018 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Aug 7, 2024 Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince Oct 27, 2022 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Aug 7, 2024 Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

6945 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 419-2496

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1699902874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-254-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67063",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME114305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.