Dr Benjamin Souferi, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cleveland, Ohio. He went to Touro Un Col Of Osteopathic Medicine, New York and graduated in 2021 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Divinity Medical Services Pllc and his current practice location is
9500 Euclid Ave # Jj24, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 444-2200.
Dr Benjamin Souferi is licensed to practice in Ohio (license number 34.017971) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033882261.
Physician's Profile
| Full Name | Dr Benjamin Souferi |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 4 Years |
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| Location | 9500 Euclid Ave # Jj24, Cleveland, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Benjamin Souferi attended and graduated from Touro Un Col Of Osteopathic Medicine, New York in 2021
NPI Data:
- NPI Number: 1033882261
- Provider Enumeration Date: 07/25/2021
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042730558
- Enrollment ID: I20250226003294
Medical Identifiers
Medical identifiers for Dr Benjamin Souferi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033882261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 34.017971 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 332470 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 34.017971 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Divinity Medical Services Pllc | 5193030245 | 85 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Benjamin Souferi allows following entities to bill medicare on his behalf.
| Entity Name | Divinity Medical Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497159560
PECOS PAC ID: 5193030245
Enrollment ID: O20150818005362 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Benjamin Souferi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Benjamin Souferi, DO
121 Andover Rd,
Roslyn Heights, NY 11577-1803
Ph: (516) 343-6426 | Dr Benjamin Souferi, DO
9500 Euclid Ave # Jj24,
Cleveland, OH 44195-3923
Ph: (216) 444-2200 |
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