Individual provider Active NPI

Julio Benitez Lopez, M.D.

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1780974279
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME121962 Issued in FL
Practice address
1611 NW 12TH Ave
Ste. SW-303
Miami, FL 33136-1005
Phone
(305) 585-6973
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301504801 MI
Anesthesiology Physician 207L00000X ME121962 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Ste. SW-303
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Ste. SW-303
Miami, FL 33136-1005
Phone (305) 585-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20160927000002 FL Practitioner - Anesthesiology 6507153137 Reassigns benefits to 1 organization
I20210604000437 MI Practitioner - Anesthesiology 6507153137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

2909 E Grand River Ave
201 SMG Anesthesiology
Lansing, MI 48912-4335
Phone (517) 253-3050

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Anesthesiology CurrentSince Sep 15, 2024 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Mid Michigan Anesthesiology Group, PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 15, 2024 Accepting new patients
University of Miami Current Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

1611 NW 12th Ave
Ste Sw
Miami, FL 33136
Phone (305) 585-6973

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1400 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 325-5416

8175 Reliable Pkwy
Chicago, IL 60686

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

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 2

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1780974279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "STE. SW-303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "STE. SW-303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ LOPEZ",
        "first_name": "JULIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301504801",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME121962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.