Individual provider Active NPI

Michael Anthony Beninato, MPAS, PA-C

  • Surgical Physician Assistant
  • Slidell, LA
National Provider Identifier
1043286388
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA200009 Issued in LA
Practice address
1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone
(985) 377-1884
Fax
(985) 377-1914
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA200009 LA Primary

Addresses

Primary practice location

1375 Corporate Square Dr
Slidell, LA 70458-3147

Mailing address

1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (985) 377-1884

Other practice location 1

1411 Lindberg Dr
Slidell, LA 70458-8057
Phone (985) 707-2790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000636 LA Practitioner - Physician Assistant 6204844475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aust Medical LLCGroup PAC ID 0749532984, 3 clinicians

Practice addresses (Care Compare)

1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (985) 377-1884

3434 Houma Blvd
Suite C
Metairie, LA 70006-4200
Phone (985) 377-1884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA200009LAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 18, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 18, 2024 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
The North Institute, Apmc Past Accepting new patients
Gulf Coast Rheumatology PastSince Jul 14, 2011 Accepting new patients

Locations

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1051 Gause Blvd
Ste 440
Slidell, LA 70458
Phone (985) 280-6770

1150 Robert Blvd
Ste 240
Slidell, LA 70458
Phone (985) 643-7476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1043286388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "985-377-1884",
            "fax_number": "985-377-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "985-377-1884",
            "fax_number": "985-377-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Lindberg Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588057",
            "country_code": "US",
            "telephone_number": "985-707-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENINATO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA200009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.