Individual provider Active NPI

Benjamin D Streufert, MD

  • Orthopaedic Surgery of the Spine Physician
  • St Petersburg, FL
National Provider Identifier
1770979247
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME150101 Issued in FL
Practice address
4600 4TH St N
St Petersburg, FL 33703-3802
Phone
(727) 527-5272
Fax
(727) 522-7412
NPI assigned
Apr 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME150101 FL
Orthopaedic Surgery of the Spine Physician 207XS0117X 67446 MN
Orthopaedic Surgery of the Spine Physician 207XS0117X ME150101 FL Primary

Addresses

Primary practice location

4600 4TH St N
St Petersburg, FL 33703-3802

Mailing address

4600 4TH St N
St Petersburg, FL 33703-3802
Phone (727) 527-5272

Other identifiers 2

IdentifierTypeStateIssuer
C92I5OtherFLBCBS
111225700MedicaidFL

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
I20210825000612 FL Practitioner - Orthopedic Surgery 4880019926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

10051 5TH St N
St Petersburg, FL 33702-2289
Phone (727) 527-5272

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

3411 S Dale Mabry Hwy
Tampa, FL 33629-8658
Phone (813) 742-9501

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion120
Laminectomy or laminotomy (partial removal of spine bones)41
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150101FLMDOrthopaedic Surgery Physician
67446MNMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 9, 2024 Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery CurrentSince Sep 13, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery CurrentSince Sep 13, 2021 Accepting new patients
Tallahassee Orthopedic Clinic III PL Orthopaedic Surgery CurrentSince Sep 9, 2024 Accepting new patients

Locations

1615 Pasadena Ave S
Ste 150
South Pasadena, FL 33707
Phone (727) 390-6024

10051 5th St N
St Petersburg, FL 33702
Phone (727) 828-2314

603 7th St S
Fl Orthopaedic
St Petersburg, FL 33701

603 7th St S
Ste 450
St Petersburg, FL 33701
Phone (727) 822-6666

4600 4th St N
St Petersburg, FL 33703

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: benjamin.streufert.2@18802.direct.athenahealth.com
  • Direct secure messaging: bstreufert271047@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1428796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1770979247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033802",
            "telephone_number": "727-527-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033802",
            "telephone_number": "727-527-5272",
            "fax_number": "727-522-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREUFERT",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-12",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME150101",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": "67446",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME150101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C92I5",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111225700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.