Individual provider Active NPI

Benjamin Mendelsohn, M.D.

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1720498223
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19837 Issued in FL
Practice address
777 Glades Rd # BC71
Boca Raton, FL 33431-6424
Phone
(561) 955-5365
Fax
(561) 955-3577
NPI assigned
May 6, 2014
Last updated
May 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19837 FL Primary

Addresses

Primary practice location

777 Glades Rd # BC71
Boca Raton, FL 33431-6424

Mailing address

3101 N 47TH Ave
Hollywood, FL 33021-2308
Phone (954) 439-0244

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
I20171023001154 FL Practitioner - Physical Medicine and Rehabilitation 0547536310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Florida College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5850 SE Community Dr
Stuart, FL 34997-6420
Phone 77232435003518

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19837FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Integrated Healthcare Inc Internal Medicine CurrentSince Aug 30, 2017 Accepting new patients
Elite Physical Medicine and Rehabilitation CurrentSince Jun 1, 2018 Accepting new patients
Synergy Chiropractic and Health Center PA PastSince Aug 30, 2017 Accepting new patients

Locations

13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330

5850 SE Community Dr
Stuart, FL 34997
Phone (772) 223-3465

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1720498223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N 47TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212308",
            "telephone_number": "954-439-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD # BC71",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-955-5365",
            "fax_number": "561-955-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "19837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.