Provider Type Icon

DR. THEODORE BENZER MD PHD NPI 1679563860


NPI Information

NPI: 1679563860
Provider Name: DR. THEODORE BENZER, MD PHD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
55 FRUIT ST
ZERO EMERSON PLACE SUITE 3B
BOSTON, MA
ZIP 02114
Phone: (617) 724-4100
Get Directions

DR. Theodore Benzer, MD PHD is an internal medicine in Boston, MA with 46 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Theodore Benzer, MD PHD NPI is 1679563860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

55 FRUIT ST
ZERO EMERSON PLACE SUITE 3B
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-4100
Fax: (617) 726-9202

The NPI 1679563860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 10/27/2005 and was last updated on 11/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine47427MASSACHUSETTSNo
2207R00000XInternal Medicine47427MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16187838MEDICAIDMASSACHUSETTS
2047427OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3A66419MEDICARE UPIN
4J04226OTHERMASSACHUSETTSBCBS MA
5J04226MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.