Individual provider Active NPI

Benjamin A Kestenbaum, DO

  • Physical Medicine & Rehabilitation Physician
  • Annapolis, MD
National Provider Identifier
1801419247
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H0099857 Issued in MD
Practice address
170 Jennifer Road
Ste 240
Annapolis, MD 21401-7995
Phone
(410) 571-9000
Fax
(410) 266-1507
NPI assigned
May 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H0099857 MD
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X H0099857 MD Primary
Physical Medicine & Rehabilitation Physician 208100000X OS18606 FL

Addresses

Primary practice location

170 Jennifer Road
Ste 240
Annapolis, MD 21401-7995

Mailing address

170 Jennifer Road
Ste 240
Annapolis, MD 21401-7995
Phone (410) 571-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 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
I20240726003155 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7113307729 Reassigns benefits to 1 organization
I20250710000849 NY Practitioner - Physical Medicine and Rehabilitation 7113307729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Care Medical PCGroup PAC ID 6901185214, 12 clinicians

Practice addresses (Care Compare)

150 E 55TH St
Suite 401
New York, NY 10022-4514
Phone (212) 840-0135

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
69.86
Promoting interoperability
100
Improvement activities
40
Cost
74.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Care Medical PC Pain Medicine CurrentSince May 22, 2025 Accepting new patients
Brian S Kahan DO PA Pain Medicine CurrentSince Jul 1, 2024 Accepting new patients
Precision Care Medical PC Pain Medicine CurrentSince May 22, 2025 Accepting new patients

Locations

170 Jennifer Rd
Ste 240
Annapolis, MD 21401
Phone (410) 571-9000

2635 Riva Rd
Ste 118
Annapolis, MD 21401
Phone (410) 571-9000

2781 Shell Rd
Ste 101
Brooklyn, NY 11223
Phone (718) 648-1234

150 E 55th St
Ste 401
New York, NY 10022
Phone (212) 840-0135

1630 Richmond Rd
Staten Island, NY 10304
Phone (718) 339-7100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1801419247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 JENNIFER ROAD",
            "address_2": "STE 240",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017995",
            "telephone_number": "410-571-9000",
            "fax_number": "410-266-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 JENNIFER ROAD",
            "address_2": "STE 240",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017995",
            "telephone_number": "410-571-9000",
            "fax_number": "410-266-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTENBAUM",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-10-09",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "H0099857",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0099857",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS18606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.