Myles B Benjamin, FNP

Key facts

NPI

1831474485

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

16140 (TN)

Practice address

7378 Yale Rd
Suite a
Bartlett, TN 38133-3604

Phone

(901) 387-0193

NPI assigned

Oct 14, 2011

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• North Internal Medicine, P. C. Internal Medicine Physician · Memphis, TN · NPI 1518982008
  Medicare reassignment Care Compare group TN
• Mid-South Ear, Nose, and Throat, P.C. Otolaryngology Physician · Germantown, TN · NPI 1689780066
  NPD (past)

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital General Acute Care Hospital · Memphis, TN · NPI 1578527172
  Care Compare affiliation Hospital
• Methodist Healthcare - Memphis Hospitals Children's Hospital · Memphis, TN · NPI 1386709871
  Care Compare affiliation Hospital
• Methodist Healthcare - Memphis Hospitals General Acute Care Hospital · Memphis, TN · NPI 1558365890
  Care Compare affiliation Hospital
• Methodist Healthcare - Memphis Hospitals Children's Hospital · Germantown, TN · NPI 1649654450
  Care Compare affiliation Hospital
• Saint Francis Hospital - Bartlett, Inc. General Acute Care Hospital · Bartlett, TN · NPI 1811929151
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Internal Medicine, P. C. (5 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Hospital · Memphis, TN · CCN 440048
• Methodist Hospitals of Memphis Hospital · Memphis, TN · CCN 440049
• Saint Francis Bartlett Medical Center Hospital · Bartlett, TN · CCN 440228

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2016.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1831474485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 YALE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381333604",
            "telephone_number": "901-387-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7378 YALE RD",
            "address_2": "SUITE A",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381333604",
            "telephone_number": "901-387-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MYLES",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "161274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06605593",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Bartlett, TN · Family Nurse Practitioner in Tennessee