Individual provider Active NPI

Lolit Joseph, MD

  • General Practice Physician
  • Highland, IN
National Provider Identifier
1710096821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01054843 Issued in IN
Practice address
3801 Ridge Rd
Highland, IN 46322-2256
Phone
(219) 838-0066
Fax
(219) 838-4096
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01054843 IN Primary

Addresses

Primary practice location

3801 Ridge Rd
Highland, IN 46322-2256

Mailing address

3801 Ridge Rd
Highland, IN 46322-2256
Phone (219) 838-0066

Other identifiers 1

IdentifierTypeStateIssuer
200384410MedicaidIN

Other names 1

  • Lolit Benjamin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070322000319 IN Practitioner - General Practice 9739283250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

514 16TH St
Bedford, IN 47421-3817
Phone (248) 660-1220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054843INMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 26, 2024 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

514 16th St
Bedford, IN 47421
Phone (812) 279-2001

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403

2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491

251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 2

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710096821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222256",
            "telephone_number": "219-838-0066",
            "fax_number": "219-838-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222256",
            "telephone_number": "219-838-0066",
            "fax_number": "219-838-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LOLIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01054843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLIT",
            "last_name": "BENJAMIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.