Mark D. Benjamin, M. D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME46843 Issued in FL

Practice address

1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846

Phone

(727) 441-3711

NPI assigned

Oct 24, 2005

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morton Plant Mease Health Services Inc

  dba Boi Bardmoor

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1528049962
  NPD
• St Josephs Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558342998
  NPD
• Advanced Imaging, LLP

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
  • NPI 1124003702
  NPD (past)
• Medical Specialist Associates of Florida LLC

  dba BayCare Outpatient Imaging

  • Specialist
  • Dunedin, FL
  • NPI 1922023076
  NPD (past)
• Premier Radiology, LLP

  • Diagnostic Radiology Physician
  • Clearwater, FL
  • NPI 1376592402
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1902896780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917368",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917368",
            "telephone_number": "727-793-9300",
            "fax_number": "727-793-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "SUITE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-441-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME46843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048344300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300013292",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian M Benci, MD
• Brianne Bender, APRN
• Monica Sui Bengston, ARNP
• Benign Care, LLC (Chateau Blanc II)
• Benjamin Devries DO LLC
• Maurina Benjamin
• Mustapha Steven Benjouali, ARNP
• Bennett Retirement Communities LLC (Curlew Care of Clearwater)
• Jacqueline Bennett
• Regina V Bennett, DC

• Diagnostic Radiology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.