Individual provider Active NPI

Richard Max Benator, M.D.

  • Pediatric Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1851334122
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
ME53843 Issued in FL
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

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ME53843FLMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physician Services, Inc. PastSince Oct 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.