NPIMap

Individual provider Active NPI

Daniel Benson II, D.O.

  • Family Medicine Physician
  • Saint Joseph, MI
National Provider Identifier
1851770465
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021862 Issued in MI
Practice address
4077 S Cleveland Ave
Saint Joseph, MI 49085
Phone
(269) 429-2992
Fax
(269) 429-3372
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Family Medicine Physician 207Q00000X 5101021862 MI Primary

Addresses

Primary practice location

4077 S Cleveland Ave
Saint Joseph, MI 49085

Mailing address

4077 S Cleveland Ave
Saint Joseph, MI 49085-9513
Phone (269) 429-2992

Other practice location 1

1234 Napier Ave
Graduate Medical Education
St. Joseph, MI 49085
Phone (269) 428-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820001499 MI Practitioner - Family Practice 1850601873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rappha Medical Center, P.L.L.C.Group PAC ID 8123096021, 2 clinicians
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

3911 Stonegate Park
Saint Joseph, MI 49085-9130
Phone (269) 408-1777

4077 S Cleveland Ave
Saint Joseph, MI 49085-9513
Phone (269) 429-2992

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Jul 23, 2018 Accepting new patients
Rappha Medical Center, P.L.L.C. CurrentSince Nov 21, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 23, 2018 Accepting new patients

Locations

4077 S Cleveland Ave
Saint Joseph, MI 49085
Phone (269) 429-2992

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3911 Stonegate Park
Saint Joseph, MI 49085
Phone (269) 408-1777

Interoperability endpoints

  • Direct secure messaging: dbenson1268510@epic00.corewelldirect.org

Organizations & group practices 3

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 3

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1851770465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859513",
            "telephone_number": "269-429-2992",
            "fax_number": "269-429-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-429-2992",
            "fax_number": "269-429-3372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Napier Ave",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "St. Joseph",
            "state": "MI",
            "postal_code": "49085",
            "country_code": "US",
            "telephone_number": "269-428-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.