Kenneth James Benjamin, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

00592 Issued in MD

Practice address

198 Thomas Johnson Dr
Ste 4
Frederick, MD 21702-4398

Phone

(301) 695-9669

Fax

(301) 695-0346

NPI assigned

Jun 16, 2005

Reactivated

Apr 4, 2006

Last updated

Jul 13, 2026By 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kenneth J. Benjamin, DPM, PA

  • Podiatrist
  • Frederick, MD
  • NPI 1770764938
  NPD (past) Authorized official
• Twin Arch Surgical Center

  • Foot & Ankle Surgery Podiatrist
  • Frederick, MD
  • NPI 1750322467
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932104007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DR",
            "address_2": "STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024398",
            "telephone_number": "301-695-9669",
            "fax_number": "301-695-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DR",
            "address_2": "STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024398",
            "telephone_number": "301-695-9669",
            "fax_number": "301-695-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "00592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "385141",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "998448",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "K374",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "4081479",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE CHOICE",
            "identifier": "9502",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Benante
• Pooja Bendala
• Catherine Anne Bender, CCC-SLP
• Edward Bendert III
• Rosana Benitez
• Stacy Benner, PT
• Carissa Bennett, PHARMD
• Justina A Bennett, PA-C
• Matthew Bennett, M.D.
• Rowan Bennett

• Foot & Ankle Surgery Podiatrist in Frederick, MD
• Providers in Frederick, MD by specialty
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.