Active NPI
Melissa Kay Benbow, MD
- Pediatrics Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301104293
- Practice address
- 13750 S Sedona Pkwy
Lansing, MI 48906-8101 - Phone
- (517) 353-4000
- Fax
- (517) 353-4001
- NPI assigned
- Oct 28, 2008
- Last updated
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.095877 | OH | |
| Pediatrics Physician | 208000000X | 4301104293 | MI | Primary |
Addresses
Primary practice location
13750 S Sedona Pkwy
Lansing, MI 48906-8101
Mailing address
804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-4000
Other practice location 1
5303 S Cedar St
Lansing, MI 48911-3800
Phone (517) 887-4305
Other practice location 2
1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone (517) 349-6560
Other practice location 3
7335 Westshire Dr Ste 102
Lansing, MI 48917-9703
Phone (517) 622-1012
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301104293 | Other | MI | MI MEDICAL LICENSE |
| 57-014989 | Other | OH | TRAINING CERTIFICATE |
| 1053564617 | Medicaid | MI | |
| 35.095877 | Other | OH | OHIO STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104293 | MI | MD | Pediatrics Physician |
| 35.095877 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc. | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients | |
| County of Ingham | Past | Accepting new patients |
Locations
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A109F
East Lansing, MI 48824
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000
7335 Westshire Dr
Ste 102
Lansing, MI 48917
Phone (517) 622-1012
1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560
Interoperability endpoints
- melissa.benbow.1@25394.direct.athenahealth.com
- melissa.benbow.p1@direct.ichd.nextgenshare.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1861443269
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
dba Cedar Community Health Center
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1568560308
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1053564617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A202",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-4000",
"fax_number": "517-353-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13750 S SEDONA PKWY",
"city": "LANSING",
"state": "MI",
"postal_code": "489068101",
"telephone_number": "517-353-4000",
"fax_number": "517-353-4001"
}
],
"practiceLocations": [
{
"address_1": "5303 S Cedar St",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489113800",
"country_code": "US",
"telephone_number": "517-887-4305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 W Grand River Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488642394",
"country_code": "US",
"telephone_number": "517-349-6560",
"fax_number": "517-349-5796",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7335 Westshire Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489179703",
"country_code": "US",
"telephone_number": "517-622-1012",
"fax_number": "517-622-1033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENBOW",
"first_name": "MELISSA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.095877",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301104293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAL LICENSE",
"identifier": "4301104293",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING CERTIFICATE",
"identifier": "57-014989",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053564617",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE MEDICAL LICENSE",
"identifier": "35.095877",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.