Individual provider Active NPI

Johane Benyehuda, M.D.

  • Adult Medicine Physician
  • Orlando, FL
National Provider Identifier
1770725343
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME105517 Issued in FL
Practice address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone
(407) 752-9728
Fax
(727) 292-1156
NPI assigned
Mar 29, 2009
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 082061 GA
Family Medicine Physician 207Q00000X C10013010 DE
Family Medicine Physician 207Q00000X 35.135131 OH
Family Medicine Physician 207Q00000X 58484 TN
Family Medicine Physician 207Q00000X DR.0071935 CO
Adult Medicine Physician 207QA0505X 202303017 NC
Adult Medicine Physician 207QA0505X ME105517 FL Primary
Adult Medicine Physician 207QA0505X MD436387 PA
Adult Medicine Physician 207QA0505X 307372 NY

Addresses

Primary practice location

111 N Orange Ave Ste 800
Orlando, FL 32801-2381

Mailing address

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (407) 752-9728

Other identifiers 8

IdentifierTypeStateIssuer
003090320OtherFLUNITED
146HUOtherFLBCBS OF FLORIDA
1074191OtherFLCAREPLUS
001468000MedicaidFL
9872407OtherFLAETNA
P00773989OtherFLRAILROAD MEDICARE
330967OtherFLAVMED
9209453OtherFLCIGNA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, PA, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20091204000081 FL Practitioner - Family Practice 3375682354 Reassigns benefits to 1 organization
I20210120002179 OH Practitioner - Family Practice 3375682354 Reassigns benefits to 1 organization
I20210319000786 PA Practitioner - Internal Medicine 3375682354 Reassigns benefits to 1 organization
I20210528000556 GA Practitioner - Internal Medicine 3375682354 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0071935COMDFamily Medicine Physician
C10013010DEMDFamily Medicine Physician
082061GAMDFamily Medicine Physician
35.135131OHMDFamily Medicine Physician
58484TNMDFamily Medicine Physician
ME105517FLMDAdult Medicine Physician
202303017NCMDAdult Medicine Physician
307372NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Carenow Urgent Care LLC Single Specialty CurrentSince May 8, 2018 Accepting new patients
J.B. Medical Group of Florida, PLLC Single Specialty Current Accepting new patients
Heathrow Internal Medicine LLC Single Specialty Past Accepting new patients
Bowman & Hampsey Mdspa Single Specialty PastSince Jul 1, 2016 Accepting new patients

Locations

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
  • Direct secure messaging: johane.benyehuda.1@31913.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1770725343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "407-752-9728",
            "fax_number": "727-292-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "407-752-9728",
            "fax_number": "727-292-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYEHUDA",
        "first_name": "JOHANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-29",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "082061",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10013010",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "58484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071935",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "202303017",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME105517",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD436387",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "307372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "003090320",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "146HU",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1074191",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001468000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9872407",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00773989",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "330967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9209453",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.