Ricardo J Benenstein, MD
Individual provider Active NPI Cardiovascular Disease Physician · Stamford, CT
NPI 1740470459 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1740470459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 69384 (CT)
- Practice address
- 29 Hospital PLZ Ste 502
Stamford, CT 06902-3602 - Phone
- (203) 348-7410
- Fax
- (203) 961-8488
- NPI assigned
- Jul 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massena Hospital Inc
Stamford Health Medical Group Inc
Canton-Potsdam Hospital
Practice addresses (Care Compare)
1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200
29 Hospital PLZ
Suite 502
Stamford, CT 06902-3602
Phone (203) 348-7410
50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
Hospital & facility affiliations
- Stamford Hospital
- Canton-Potsdam Hospital
- SLHS Massena, Inc
- Gouverneur Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091113000082 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 9234229766 | Reassigns benefits to 3 organizations |
| I20211111002672 | CT | Practitioner - Cardiovascular Disease (Cardiology) | 9234229766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133801 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Gouverneur Hospital | Current |
Accepting new patients | |
| Massena Hospital, Inc | Current |
Accepting new patients | |
| Massena Hospital Inc | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Gouverneur Hospital | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Canton Potsdam Hospital | Past | Accepting new patients |
Locations
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
29 Hospital Plz
Ste 502
Stamford, CT 06902
Phone (203) 348-7410
29 Hospital Plz
Ste 601
Stamford, CT 06902
Phone (203) 276-2451
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste C
Potsdam, NY 13676
Phone (315) 274-9102
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
Interoperability endpoints
- rbenenstein672803@nychhc.direct-ci.com
- rbenenstein24312@stamfordhealth.direct-ci.com
- https://fhir4.healow.com/fhir/r4/ABCIBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 69384 | CT | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 254009 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 133801 | FL |
Addresses
Primary practice location
29 Hospital PLZ Ste 502
Stamford, CT 06902-3602
Mailing address
29 Hospital PLZ Ste 502
Stamford, CT 06902-3602
Phone (203) 348-7410
Other providers in Stamford, CT
- Shani Ben-Dov
- Steven Todd Benaderet
- Mary Ellen Benalcazar
- Bender Chiropractic and Wellness Center Inc
- Scott R Bender
- Taylor Benevento
- Karen Benitez
- Burton Irving Benjamin
- Margaret Newberry Drake Bennett
- Yanique Cherise Bennett
All providers in Stamford, CT · Cardiovascular Disease Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.