Active NPI
Richard Max Benator, M.D.
- Pediatric Radiology Physician
- St Petersburg, FL
National Provider Identifier
1851334122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- ME53843
- Practice address
- 501 6TH Avenue South
All Children'S Hospital
St Petersburg, FL 33701-4899 - Phone
- (727) 767-3318
- Fax
- (727) 767-3593
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | ME53843 | FL | Primary |
Addresses
Primary practice location
501 6TH Avenue South
All Children'S Hospital
St Petersburg, FL 33701-4899
Mailing address
601 5TH Street South
5TH Floor, Dept. 6941
St Petersburg, FL 33701-4899
Phone (727) 767-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME53843 | FL | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rbenator734307@direct.hopkinsmedicine.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1851334122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH STREET SOUTH",
"address_2": "5TH FLOOR, DEPT. 6941",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014899",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVENUE SOUTH",
"address_2": "ALL CHILDREN'S HOSPITAL",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014899",
"telephone_number": "727-767-3318",
"fax_number": "727-767-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENATOR",
"first_name": "RICHARD",
"middle_name": "MAX",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "FL",
"license": "ME53843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.