Mary Elisabeth Benjamin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0048252 Issued in MD

Practice address

12162 Tech Rd
Silver Spring, MD 20904-1914

Phone

(301) 681-6654

Fax

(301) 681-2607

NPI assigned

Mar 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Internal Medicine

Education

Howard University College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD
• Direct secure messaging: drmarybenjamin.marybenjamin@130052.advancedmd-direct.com
• Direct secure messaging: mary.benjamin.1@7340.direct.athenahealth.com

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.

• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1972597425
  Medicare reassignment Care Compare group NPD
• Total Health Care Inc

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1487397873
  NPD
• Total Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MD
  • NPI 1225857378
  NPD
• Forest Park Specialists, LLP

  • Rehabilitation Hospital
  • Baltimore, MD
  • NPI 1336190651
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Hospital Physician Services, LLLP

  • General Acute Care Hospital
  • Westminster, MD
  • NPI 1457302713

  Internal Medicine

  NPD (past)
• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1013902485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1801066824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12162 TECH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041914",
            "telephone_number": "301-681-6654",
            "fax_number": "301-681-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12162 TECH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041914",
            "telephone_number": "301-681-6654",
            "fax_number": "301-681-2607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Division St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173121",
            "country_code": "US",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MARY",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0048252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719005100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda J Benites
• Jani Benitez, LICSW
• Jessica Del Carmen Benitez
• Anoute Benjamin
• Cierra Benjamin
• Benmax Health Services, LLC
• Brittany Iesha Bennett
• Colota Bennett
• Duane Everett Bennett II, DDS
• Kami Mae Bennett, OTR/L

• Internal Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.

Verify at the official NPI Registry.