BENJAMIN ANTHONY NICOTERA MD
NPI 1407353790
Student in an Organized Health Care Education/Training Program in O Fallon, IL
NPI Status: Active since April 12, 2018
Contact Information
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL
ZIP 62269
Phone: (618) 233-5480
Fax: (618) 222-4792
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About BENJAMIN NICOTERA
This page provides the complete NPI Profile along with additional information for Benjamin Nicotera, a primary care provider established in O Fallon, Illinois with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1407353790 assigned on April 2018. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1407353790
- Provider Name
- BENJAMIN ANTHONY NICOTERA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269
- Location Phone
- (618) 233-5480
- Location Fax
- (618) 222-4792
- Mailing Address
- 395 STATE ST RIGHT SIDE AMHERST, MA 01002
- Mailing Phone
- (413) 244-2936
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2018
- Last Update Date
- 04-12-2018
- Code Navigator
A primary care provider (PCP) like Benjamin Nicotera sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Benjamin Nicotera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 3 | 5 | 3 | 7 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 6 | 5 | 6 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 6 + 5 + 6 + 7 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1407353790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417185984 | DR. MECHELLE E ELOSIEBO M.D. Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1013378652 | DR. NOAH M COOPERSTEIN MD Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-7311 |
| 1730317702 | DR. VINAY KUMAR BHOOMA M.D. Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1386174381 | DR. BENJAMIN CARL BEGGS MD Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1366490146 | DR. MARJORIE H. GUTHRIE M.D. Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1558440776 | DR. ANNE NICOLE NASH M.D. Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1437552130 | MARLA NELSON Individual | Counselor (Professional) | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1366182305 | OGECHUKWU NWANEGWO MD Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-7880 |
| 1629718002 | DR. VANESSA MARIE GARCIA-TURNER DO Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-7880 |
| 1003345406 | DR. LAUREN LAMB MD Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1891257481 | DR. STEPHANIE ELLEN MILAM MD Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1225556996 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1437386083 | DR. CHRISTINA L BEREDA D.O. Individual | Family Medicine | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1083316764 | FANGHUA LOU MD Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1275238321 | ANAM SHABBIR Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1609570456 | CARALINE CHO MD Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1609571306 | PRABHUDEV PATIL Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
| 1790488062 | NONA HASHEM SHARIFI Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-7880 |
| 1962106732 | RUTH ESI AKYERE TURKSON MD Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 |
| 1972240935 | JORDAN ARMES Individual | Student in an Organized Health Care Education/Training Program | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 233-5480 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407353790, enumerated in the NPI registry as an "individual" on April 12, 2018
The provider is located at 3 Saint Elizabeth Blvd Ste 4000 O Fallon, Il 62269 and the phone number is (618) 233-5480
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 12, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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