DR. BENJAMIN MOBERLY (MD) – Internal Medicine Physician, NPI 1396278206
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,245 INTERNAL MEDICINE in MD
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Provider Addresses for DR. BENJAMIN MOBERLY (MD)
City Cafe, 500, South Preston Street, Louisville, Jefferson County, Kentucky, 40202, United States
ROOM 305
LOUISVILLE, KY 402021702
Phone:
Type: Mailing
Walter Reed National Military Medical Center, 8901, Rockville Pike, Glenbrook, Maplewood, Bethesda, Montgomery County, Maryland, 20889, United States
BETHESDA, MD 208890001
Phone: (855) 227-6331
Type: Location
PSC 455 BOX 208
FPO, AP 965400003
Phone: (671) 688-1374
Type: Mailing
BLDG 50 FARENHOLT AVE
AGANA HEIGHTS, GU 96910
Phone: (671) 344-9202
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
305 NEW ALBANY PLZ
NEW ALBANY, IN 471504653
Phone: (812) 668-8133
Fax: (877) 772-5818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250821004344 | I | Internal Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Osteopathic Manipulative Medicine, Family Practice | IN | |
| Family Practice | KY | |
| Nurse Practitioner | IN |
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