DR. KENNETH JAMES BENJAMIN D.P.M. NPI 1932104007

NPI Information

NPI: 1932104007
Provider Name: DR. KENNETH JAMES BENJAMIN, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
198 THOMAS JOHNSON DR
STE 4
FREDERICK, MD
ZIP 21702
Phone: (301) 695-9669
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DR. Kenneth James Benjamin, D.P.M. is a foot and ankle surgery podiatrist in Frederick, MD. DR. Kenneth James Benjamin, D.P.M. NPI is 1932104007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

198 THOMAS JOHNSON DR
STE 4
FREDERICK, MD
ZIP 21702-398
Phone: (301) 695-9669
Fax: (301) 695-0346

The NPI 1932104007 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).

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.

Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 6/16/2005 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	213ES0103X	Podiatrist	Foot & Ankle Surgery	00592	MARYLAND	Yes

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	620L	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
2	K374	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
3	385141	OTHER	MARYLAND	UNITED HEALTHCARE
4	K374	OTHER	MARYLAND	BLUE CROSS BLUE SHIELD
5	9502	OTHER	DISTRICT OF COLUMBIA	BLUE CROSS BLUE CHOICE
6	T30909	MEDICARE UPIN	MARYLAND
7	998448	OTHER	MARYLAND	AETNA HEALTHCARE
8	4081479	OTHER	MARYLAND	AETNA HEALTHCARE
9	192765	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND

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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