DR. BENJAMIN DAVID MEDOFF MD NPI 1720062300

NPI Information

NPI: 1720062300
Provider Name: DR. BENJAMIN DAVID MEDOFF, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
55 FRUIT ST
PULMONARY AND CRITICAL CARE, BUL 148
BOSTON, MA
ZIP 02114
Phone: (617) 726-1721
Get Directions

DR. Benjamin David Medoff, MD is a pulmonary disease internal medicine in Boston, MA with 30 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Benjamin David Medoff, MD NPI is 1720062300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

55 FRUIT ST
PULMONARY AND CRITICAL CARE, BUL 148
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-1721

The NPI 1720062300 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 enumeration date for this NPI number is 12/6/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	150732	MASSACHUSETTS	Yes
2	207RC0200X	Internal Medicine	Critical Care Medicine	150732	MASSACHUSETTS	X
3	207R00000X	Internal Medicine		150732	MASSACHUSETTS	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J16991	OTHER	MASSACHUSETTS	BCBS MA
2	3156141	MEDICAID	MASSACHUSETTS
3	A21691	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	755774	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
5	G34067	MEDICARE UPIN

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

NPI Synchronization or Removal

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