Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Kahn, MDASOFMAY2019

Individual provider MOHS-Micrographic Surgery Physician · NPI 1457811275

Benjamin Kahn, MDASOFMAY2019 is a Dermatology in Providence, Rhode Island. Graduated from Emory University School of Medicine in 2019, 7 years ago. Practices with Illinois Dermatology Institute, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Emory University School of Medicine
Licensed in
IN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 01094129A (IN)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 01094129A (IN)

Record details

NPI number1457811275
Entity typeIndividual (Type 1)
GenderMale
Credentials MDASOFMAY2019
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address90 Pleasant St, Providence, RI 02906-1727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Illinois Dermatology Institute, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence