Individual provider Active NPI

Justin Benoit, D.O

  • Anesthesiology Physician
  • Boston, MA
National Provider Identifier
1811379233
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
282057 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(617) 573-3380
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 282057 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20200518001197 MA Practitioner - Anesthesiology 6103112115 Reassigns benefits to 6 organizations
I20231216000339 NH Practitioner - Anesthesiology 6103112115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Cape Cod Anesthesia Associates, Inc. Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Atlantic Anesthesia, P.C. Anesthesiology CurrentSince Mar 12, 2021 Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology CurrentSince Jan 22, 2024 Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Oct 18, 2021 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC Anesthesiology CurrentSince Dec 11, 2023 Accepting new patients
Coastal Medical Associates Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 18, 2021 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 Morse St
Norwood, MA 02062
Phone (781) 255-0362

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

43 High St
Wareham, MA 02571
Phone (508) 273-4200

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: jbenoit57259@direct.southcoast.org

Organizations & group practices 10

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 1

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1811379233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "JUSTIN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "282057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.