Individual provider Active NPI

Kyler Elizabeth Benbow, PA

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1104258011
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001551 Issued in IN
Practice address
13430 N Meridian St Ste 367
Carmel, IN 46032-1484
Phone
(317) 575-2700
Fax
(317) 575-2713
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis Inc 357 clinicians

Practice addresses (Care Compare)

13430 N Meridian St
Suite 367
Carmel, IN 46032-1484
Phone (317) 884-5200

2548 Cumberland Ave
West Lafayette, IN 47906-4083
Phone (765) 447-4165

288 E 175TH St
Suite 100
Westfield, IN 46074-8934
Phone (317) 275-6140

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

  • Orthoindy Hospital Hospital, Indianapolis, IN, CCN 150160

Merit-based Incentive Payment System (MIPS)

Final score
74.84 of 100Reported as group
Quality
52.64
Promoting interoperability
88
Improvement activities
40
Cost
73.49

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131015002113 IN Practitioner - Physician Assistant 4183858699 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10001551INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc Physician Assistant CurrentSince Apr 6, 2015 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Apr 6, 2015 Accepting new patients
Orthopaedics-Indianapolis, Inc Past Accepting new patients

Locations

7950 Ortho Ln
Brownsburg, IN 46112
Phone (317) 268-3600

13450 N Meridian St
Ste 355
Carmel, IN 46032
Phone (317) 575-2700

13430 N Meridian St
Ste 367
Carmel, IN 46032
Phone (317) 573-7050

8450 Northwest Blvd
Indianapolis, IN 46278

1411 S Creasy Ln
Ste 120
Lafayette, IN 47905
Phone (765) 447-4165

2548 Cumberland Ave
Ste 100
West Lafayette, IN 47906
Phone (765) 447-4165

Interoperability endpoints

  • Direct secure messaging: kyler.benbow.1@29985.direct.athenahealth.com
  • Direct secure messaging: kylerbenbow@oi.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001551 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

13430 N Meridian St Ste 367
Carmel, IN 46032-1484

Mailing address

13430 N Meridian St Ste 367
Carmel, IN 46032-1484
Phone (317) 575-2700

Other names 1

NPPES NPI Registry
  • Kyler Elizabeth Clark Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address kyler.benbow.1@29985.direct.athenahealth.com Orthopaedics-Indianapolis, Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1104258011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST STE 367",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321484",
            "telephone_number": "317-575-2700",
            "fax_number": "317-575-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST STE 367",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321484",
            "telephone_number": "317-575-2700",
            "fax_number": "317-575-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENBOW",
        "first_name": "KYLER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyler.benbow.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "13430 N Meridian St Ste 367",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYLER",
            "last_name": "CLARK",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.