BENJAMIN JOHN PUCCIO MD
NPI 1760002810
Psychiatry & Neurology - Neurology in Detroit, MI

Q: What is Benjamin Puccio's NPI number?

The NPI number for Benjamin Puccio is 1760002810. It was assigned to this individual provider in the NPPES registry on April 19, 2020.

Q: What is Benjamin Puccio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Puccio was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 19, 2020PECOS EnrolledAccepts Medicare Assignment

4201 SAINT ANTOINE ST STE 8A&8B, DETROIT, MI 48201(313) 745-4275 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Benjamin John Puccio Md NPPES

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

BENJAMIN JOHN PUCCIO MD (NPI 1760002810) is an individual neurology provider in Detroit, Michigan, licensed in Michigan (4301515133) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1760002810

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameBENJAMIN JOHN PUCCIOCredential: MD

Location Address4201 SAINT ANTOINE ST STE 8A&8BDetroit, MI 48201-2153

Mailing Address400 Mack AveDetroit, MI 48201-2136

Phone(313) 745-4275

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 19, 2020

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1760002810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4301515133

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4201 SAINT ANTOINE ST STE 8A&8B, Detroit, MI 48201

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Secondary Practice Location 1

Location 190 Bergen St Ste 5200Newark, NJ 07103-2425 · Phone (973) 972-5209

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Benjamin John Puccio 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 ID5092256214

PECOS Enrollment IDI20250730001052

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.

Hospital Affiliations CMS Care Compare

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230104

Location3990 John R StreetDetroit, MI 48201 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Other Providers at the Same Location NPPES 5

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

ROHIT A MARAWAR MD

Psychiatry & Neurology (Clinical Neurophysiology)

4201 SAINT ANTOINE ST STE 8A&8B
DETROIT, MI 48201

Wayne County (313) 745-4275

MARGERIE DURBAN MD

Psychiatry & Neurology (Neurology)

4201 SAINT ANTOINE ST STE 8A&8B
DETROIT, MI 48201

Wayne County (313) 745-4275

SYEDA MARIA MUZAMMIL M.D.

Psychiatry & Neurology (Neurology)

4201 SAINT ANTOINE ST STE 8A&8B
DETROIT, MI 48201

Wayne County (313) 745-4275

M MAHER FAKHOURI MD

Psychiatry & Neurology (Neurology)

4201 SAINT ANTOINE ST STE 8A&8B, UNIVERSITY HEALTH CENTER
DETROIT, MI 48201

Wayne County (313) 745-4275

MAHMOUD RAYES M.D.

Psychiatry & Neurology (Neurocritical Care)

4201 SAINT ANTOINE ST STE 8A&8B
DETROIT, MI 48201

Wayne County (313) 745-4275

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 Benjamin Puccio's NPI number?

The NPI number for Benjamin Puccio is 1760002810. It was assigned to this individual provider in the NPPES registry on April 19, 2020.

Where is Benjamin Puccio located?

Benjamin Puccio practices at 4201 Saint Antoine St Ste 8a&8b, Detroit, MI 48201. The listed phone number is (313) 745-4275.

What is Benjamin Puccio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Benjamin Puccio enrolled in Medicare?

Yes. Benjamin Puccio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Puccio accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Benjamin Puccio 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.

Is Benjamin Puccio affiliated with any hospitals?

According to CMS data, Benjamin Puccio is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Puccio was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.