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MR. MAXIME BENLULU
NPI 1124683404
Physician Assistant in Fort Lauderdale, FL

Active since May 02, 2019PECOS Enrolled
83.23/100
CMS Quality Rating
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308(954) 771-8000 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Aug 2, 2021, Jun 9, 2021 and 3 more (6 updates tracked since 2019).

About Mr. Maxime Benlulu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAXIME BENLULU (NPI 1124683404) is an individual physician assistant in Fort Lauderdale, Florida, licensed in Florida (PA9114191) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124683404
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MAXIME BENLULU
Location Address4725 N FEDERAL HWYFort Lauderdale, FL 33308-4603
Mailing Address9160 Southampton PlBoca Raton, FL 33434-2859 · (561) 213-9094
Phone(954) 771-8000
Sole ProprietorNo
Enumeration DateMay 2, 2019
Last NPPES UpdateApril 20, 20266 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1124683404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9114191
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4725 N FEDERAL HWY, Fort Lauderdale, FL 33308
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Max Benlulu Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Maxime Benlulu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.41
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1ST ASSIST OF SOUTH FLORIDA LLC
Physician Assistant (Surgical)
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MARY ELIZABETH MCNERNEY
Nurse Anesthetist, Certified Registered
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MARK DRUCKER MD
Emergency Medicine
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MRS. HOLLY HIRNYK APRN
Nurse Practitioner (Acute Care)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (614) 679-7841
JULIAN ALEXANDER PURRINOS
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 542-3359
KATHY NGUYEN TRUONG MD
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 542-3359
DAVID GOZANSKY MD
Specialist
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 938-0500
DR. JOSHUA MICHAEL LARNED M.D.
Internal Medicine (Cardiovascular Disease)
4725 N FEDERAL HWY, SUITE 401
FORT LAUDERDALE, FL 33308
Broward County (954) 772-2136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxime Benlulu's NPI number?

The NPI number for Maxime Benlulu is 1124683404. It was assigned to this individual provider in the NPPES registry on May 2, 2019. The provider is also known as Mr. Max Benlulu Pa-C.

Where is Maxime Benlulu located?

Maxime Benlulu practices at 4725 N Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (954) 771-8000.

What is Maxime Benlulu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maxime Benlulu enrolled in Medicare?

Yes. Maxime Benlulu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxime Benlulu was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.