JOHN THAVERTHUNDIYIL BENJAMIN MD
NPI 1679607980
Pediatrics - Neonatal-Perinatal Medicine in Palo Alto, CA

Active since March 16, 2007PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2025, Oct 15, 2020 (2 updates tracked since 2020).

About John Thaverthundiyil Benjamin Md NPPES

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

JOHN THAVERTHUNDIYIL BENJAMIN MD (NPI 1679607980) is an individual neonatal-perinatal medicine provider in Palo Alto, California, licensed in California (C195299) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679607980
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJOHN THAVERTHUNDIYIL BENJAMINCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
NPI 1679607980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in CA · C195299 Licensed in TN · MD48419 Licensed in AL · 26601
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License C195299 (CA)
725 WELCH RD, Palo Alto, CA 94304

Other Identifiers 4

Medicaid009942750AL
Other51541110AL · Bcbs
Medicaid00179031MS
Medicaid280170100FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Thaverthundiyil Benjamin Md 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.

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.

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 John Benjamin's NPI number?

The NPI number for John Benjamin is 1679607980. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is John Benjamin located?

John Benjamin practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is John Benjamin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is John Benjamin enrolled in Medicare?

Yes. John Benjamin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Benjamin was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.