DR. BENEDITO A. CARNEIRO MD
NPI 1265489371
Internal Medicine - Medical Oncology in Providence, RI

Q: What is Benedito Carneiro's NPI number?

The NPI number for Benedito Carneiro is 1265489371. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Benedito Carneiro Filho MD.

Q: What is Benedito Carneiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Benedito Carneiro was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-7151(401) 793-7132 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Benedito A. Carneiro Md NPPES

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

DR. BENEDITO A. CARNEIRO MD (NPI 1265489371) is an individual medical oncology provider in Providence, Rhode Island, licensed in Rhode Island (MD15932) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1265489371

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameDR. BENEDITO A. CARNEIROCredential: MD

Location Address164 SUMMIT AVEProvidence, RI 02906-2853

Mailing Address164 Summit AveProvidence, RI 02906-2853 · (401) 793-7151 · Fax (401) 793-7132

Phone(401) 793-7151

Fax(401) 793-7132

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 27, 2006

Last NPPES UpdateDecember 9, 20254 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1265489371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

Licenses✔ Licensed in RI · MD15932✔ Licensed in IL · 036115617

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

164 SUMMIT AVE, Providence, RI 02906

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Other Names 1

Former Name (1)Benedito Carneiro Filho Md

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-5435

Other Identifiers 2

Other036115617IL · Il State License

OtherMD15932RI · Ri Medical State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benedito A. Carneiro Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901818368

PECOS Enrollment IDI20171002001991

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services100 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

118 services84 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

44 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

29 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

27 services19 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

24 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)