Benakanahalli MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME97496 Issued in FL

Legal business name

BENAKANAHALLI MD PA

Practice address

603 W Lumsden Rd
Brandon, FL 33511-5911

Phone

(813) 435-3912

Fax

(813) 655-3913

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Manjunath B Benakanahalli, MDNPI 1619067428

Title

Owner

Phone

(813) 435-3912

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manjunath B Benakanahalli, MD

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1619067428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1811224470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-435-3912",
            "fax_number": "813-655-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-435-3912",
            "fax_number": "813-655-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENAKANAHALLI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BENAKANAHALLI",
        "authorized_official_first_name": "MANJUNATH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-435-3912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haylie C Belles I
• Dawn Natalie Belof-Ganter, D.C.
• Daja Marcella Belt, RCSWI
• William K Belton Jr., D.M.D.
• Jessica Beltrame
• Manjunath B Benakanahalli, MD
• Christine Bencivenga
• Juan M Bencomo Sanchez
• Laura Anne Benes
• Yuniet Benitez, CNA

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.