Robert W Benson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

013754 Issued in LA

Practice address

180 N 5TH St
Ponchatoula, LA 70454-2532

Phone

(985) 370-7768

NPI assigned

Jun 9, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Dermatology

Education

Louisiana State University School of Medicine in New Orleans, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Ponchatoula LLCGroup PAC ID 6103126974, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrated Dermatology of Ponchatoula, LLC

  • Dermatology Physician
  • Ponchatoula, LA
  • NPI 1508234600
  Medicare reassignment Care Compare group NPD
• Green Mountain Dermatology PLLC

  • Dermatology Physician
  • Colchester, VT
  • NPI 1093577827
  NPD (past)
• Id of Quincy LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1053088377
  NPD (past)
• Integrated Dermatology of Northeast Missouri LLC

  • Dermatology Physician
  • Hannibal, MO
  • NPI 1992518658
  NPD (past)
• Integrated Dermatology of Westlake Village, PC

  • Dermatology Physician
  • Westlake Village, CA
  • NPI 1295302917
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1962406843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N 5TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542532",
            "telephone_number": "985-370-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N 5TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542532",
            "telephone_number": "985-370-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "013754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175358",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Barrett, BCBA, LBA
• Tyra Saul Batiste
• Kierra Beatty
• Belle Oaks Adult Day Health Center, LLC
• Kimberly Christine Benson, PA
• Bensons Dermatology & Skin Cancer
• Thomas J Bergeron Jr.
• Lynn Jones Bikoi, NP
• Blitz Transportation Servies
• Sindy Bollich

• Dermatology Physician in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.