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COREY ANTONIO BENJAMIN MD
NPI 1881222503
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR # MC8770, SAN DIEGO, CA 92103(619) 543-5297(619) 543-6162 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2021, Mar 29, 2020 (2 updates tracked since 2020).

About Corey Antonio Benjamin Md NPPES

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

COREY ANTONIO BENJAMIN MD (NPI 1881222503) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of University Of Virginia School Of Medicine (2020).

NPPES Registry Identity

NPI1881222503
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOREY ANTONIO BENJAMINCredential: MD
Location Address200 W ARBOR DR # MC8770San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8770San Diego, CA 92103-1911 · (619) 543-5297 · Fax (619) 543-6162
Phone(619) 543-5297
Fax(619) 543-6162
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1881222503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR # MC8770, San Diego, CA 92103
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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

Corey Antonio Benjamin 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 ID6507283223
PECOS Enrollment IDI20241029003581
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 2

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

JOHN CHOI MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8770
SAN DIEGO, CA 92103
San Diego County (619) 543-5297
MAYA FILIPOVIC M.D.
Anesthesiology
200 W ARBOR DR # MC8770
SAN DIEGO, CA 92103
San Diego County (619) 543-5297
TING-WEI FAN
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8770
SAN DIEGO, CA 92103
San Diego County (619) 543-5297
DR. SUN CHOE DALY M.D.
Anesthesiology
200 W ARBOR DR # MC8770
SAN DIEGO, CA 92103
San Diego County (619) 543-5754

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 Corey Benjamin's NPI number?

The NPI number for Corey Benjamin is 1881222503. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Corey Benjamin located?

Corey Benjamin practices at 200 W Arbor Dr # Mc8770, San Diego, CA 92103. The listed phone number is (619) 543-5297.

What is Corey Benjamin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Corey Benjamin enrolled in Medicare?

Yes. Corey Benjamin 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.

Is Corey Benjamin affiliated with any hospitals?

According to CMS data, Corey Benjamin is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Corey Benjamin was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.