DR. BENJAMIN DAVID MEDOFF MD NPI 1720062300

NPI Information

  • NPI: 1720062300
  • Provider Name: DR. BENJAMIN DAVID MEDOFF, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 FRUIT ST
    PULMONARY AND CRITICAL CARE, BUL 148
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-1721

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NPI Details

DR. Benjamin David Medoff, MD is a pulmonary disease internal medicine in Boston, MA with 31 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 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.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)

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
1207RP1001XInternal MedicinePulmonary Disease150732MASSACHUSETTSYes
2207RC0200XInternal MedicineCritical Care Medicine150732MASSACHUSETTSX
3207R00000XInternal Medicine150732MASSACHUSETTSX

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
1J16991OTHERMASSACHUSETTSBCBS MA
23156141MEDICAIDMASSACHUSETTS
3A21691MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4755774OTHERMASSACHUSETTSTUFTS HEALTH PLAN
5G34067MEDICARE 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: 3/30/2025

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