Individual provider Active NPI

Susan Carleton Benes, M.D.

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1013947118
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-04-6649 Issued in OH
Practice address
262 Neil Ave Ste 210
Columbus, OH 43215-7309
Phone
(614) 917-1292
Fax
(614) 917-1293
NPI assigned
Jul 4, 2006
Last updated
Jul 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35-04-6649 OH Primary

Addresses

Primary practice location

262 Neil Ave Ste 210
Columbus, OH 43215-7309

Mailing address

262 Neil Ave
Suite 210
Columbus, OH 43215-7309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328001680 CO Practitioner - Ophthalmology 7214972280 Practice locations: Buena Vista, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1013947118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE",
            "address_2": "SUITE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157309",
            "telephone_number": "614-917-1292",
            "fax_number": "614-917-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENES",
        "first_name": "SUSAN",
        "middle_name": "CARLETON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-04-6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.