Active NPI
Benjamin Joseph Cousins III, MD
- Plastic Surgery Physician
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME115543
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019360500 | Medicaid | FL | |
| 110155502A | Medicaid | MA | |
| ME115543 | Other | FL | MEDICAL LICENSE |
| 269487 | Other | MA | MEDICAL 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Mount Sinai Medical Center of Florida, Inc
- HCA Florida Aventura Hospital
- Baptist Hospital of Miami
- Memorial Hospital West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 115543 | FL | MD | Orthopaedic Hand Surgery Physician |
| ME115543 | FL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | 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.
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Plastic Surgery Physician
- Miami Beach, FL
- NPI 1043650872
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
dba HCA Florida Aventura Hospital
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
-
dba Memorial Hospital West
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.