Individual provider Active NPI

Leslie Jacob Benny, D.O.

  • Rheumatology Physician
  • Kissimmee, FL
National Provider Identifier
1780002717
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS17075 Issued in FL
Practice address
901 E Oak St Ste C
Kissimmee, FL 34744-5837
Phone
(386) 561-9967
Fax
(844) 815-1446
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS17075 FL Primary

Addresses

Primary practice location

901 E Oak St Ste C
Kissimmee, FL 34744-5837

Mailing address

795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone (386) 561-9967

Other practice location 1

795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone (386) 561-9967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200902000637 FL Practitioner - Rheumatology 2163791500 Reassigns benefits to 1 organization
I20230111001539 WI Practitioner - Rheumatology 2163791500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Central Florida Rheumatology Consultants LLCGroup PAC ID 7214276922, 9 clinicians

Practice addresses (Care Compare)

795 Primera Blvd
Suite 1001
Lake Mary, FL 32746-2191
Phone (386) 561-9967

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17075FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Current Accepting new patients
Central Florida Rheumatology Consultants LLC Rheumatology CurrentSince May 1, 2024 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Dec 28, 2022 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Dec 28, 2022 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

901 E Oak St
Ste C
Kissimmee, FL 34744
Phone (386) 561-9967

901 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 943-8922

795 Primera Blvd
Ste 1001
Lake Mary, FL 32746
Phone (386) 561-9967

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1780002717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "386-561-9967",
            "fax_number": "844-815-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E OAK ST STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445837",
            "telephone_number": "386-561-9967",
            "fax_number": "844-815-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Primera Blvd Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462191",
            "country_code": "US",
            "telephone_number": "386-561-9967",
            "fax_number": "844-815-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNY",
        "first_name": "LESLIE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS17075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.