KARL BENZ
NPI 1609364264
Radiology - Diagnostic Radiology in Burlington, MA

Active since April 28, 2018PECOS Enrolled
41 MALL RD, BURLINGTON, MA 01805(781) 744-8000 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, May 19, 2026, Jun 13, 2019 and 1 more (4 updates tracked since 2018).

About Karl Benz NPPES

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

KARL BENZ (NPI 1609364264) is an individual diagnostic radiology provider in Burlington, Massachusetts, licensed in Massachusetts (1026019) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609364264
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKARL BENZ
Location Address41 MALL RDBurlington, MA 01805-0001
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 28, 2018
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1609364264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 1026019
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
41 MALL RD, Burlington, MA 01805

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-2000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karl Benz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911476189
PECOS Enrollment IDI20260516000570
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karl Benz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805

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 Karl Benz's NPI number?

The NPI number for Karl Benz is 1609364264. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Karl Benz located?

Karl Benz practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Karl Benz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karl Benz enrolled in Medicare?

Yes. Karl Benz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karl Benz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Benz reassigns Medicare benefits to 3 organizations: Lahey Clinic, Inc. (Burlington, MA), Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karl Benz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Benz accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Karl Benz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karl Benz was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.