Individual provider Active NPI

Benjamin Joseph Cousins III, MD

  • Plastic Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1780708909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME115543 Issued in FL
Practice address
4308 Alton Rd Ste 720
Miami Beach, FL 33140-4557
Phone
(786) 637-3332
Fax
(866) 567-1980
NPI assigned
Mar 16, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X ME 115543 FL
Plastic Surgery Physician 208200000X ME115543 FL Primary

Addresses

Primary practice location

4308 Alton Rd Ste 720
Miami Beach, FL 33140-4557

Mailing address

4308 Alton Rd Ste 720
Miami Beach, FL 33140-4557
Phone (786) 637-3332

Other practice location 1

25 Walnut St Ste 400
Wellesley, MA 02481-2150
Phone (781) 705-2789

Other practice location 2

601 N Flamingo Rd Ste 101
Pembroke Pines, FL 33028-1007
Phone (786) 637-3332

Other identifiers 4

IdentifierTypeStateIssuer
019360500MedicaidFL
110155502AMedicaidMA
ME115543OtherFLMEDICAL LICENSE
269487OtherMAMEDICAL LICENSE

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
I20131024001387 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1658506894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

601 N Flamingo Rd
Suite 101
Pembroke Pines, FL 33028-1007
Phone (786) 637-3332

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 115543FLMDOrthopaedic Hand Surgery Physician
ME115543FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Sep 29, 2023 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

Organizations & group practices 2

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 4

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780708909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 720",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "786-637-3332",
            "fax_number": "866-567-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 720",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "786-637-3332",
            "fax_number": "866-567-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Walnut St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024812150",
            "country_code": "US",
            "telephone_number": "781-705-2789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Flamingo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281007",
            "country_code": "US",
            "telephone_number": "786-637-3332",
            "fax_number": "866-567-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME 115543",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME115543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019360500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110155502A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME115543",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "269487",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.