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

Robert Michael Benjamin III

Individual provider Surgery Physician · NPI 1528645561

Robert Michael Benjamin III is a General Surgery in Worcester, Massachusetts. Qualified in 2021, 5 years ago. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-0545
Fax: (774) 443-0544
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1027685 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528645561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Worcester