Individual provider Active NPI

Ellen Maria N/a Benitah Bulbarelli, M.D

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1881325504
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT225721 Issued in PA
Practice address
150 Clearwater Largo Rd N Ste 2
Largo, FL 33770-2388
Phone
(727) 518-0822
Fax
(727) 518-6511
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT225721 PA Primary

Addresses

Primary practice location

150 Clearwater Largo Rd N Ste 2
Largo, FL 33770-2388

Mailing address

150 Clearwater Largo Rd N Ste 2
Largo, FL 33770-2388
Phone (727) 518-0822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250716001824 FL Practitioner - Internal Medicine 9931614138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ranjan Mahajan, MD PLCGroup PAC ID 6800800129, 5 clinicians

Practice addresses (Care Compare)

150 Clearwater Largo N Rd
Suite 2
Largo, FL 33770-2388
Phone (727) 518-0822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT225721PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ranjan Mahajan, MD PLC CurrentSince Aug 1, 2025 Accepting new patients
Ranjan Mahajan MD Past Accepting new patients

Locations

150 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-0822

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 518-0822

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.

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1881325504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N STE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N STE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITAH BULBARELLI",
        "first_name": "ELLEN MARIA",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT225721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.