Individual provider Active NPI

Nikki B Benvenuti, PA

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1104889658
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001547 Issued in OH
Practice address
2050 Kenney Road
Suite 3300
Columbus, OH 43221
Phone
(614) 293-2663
Fax
(614) 293-2053
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001547 OH Primary

Addresses

Primary practice location

2050 Kenney Road
Suite 3300
Columbus, OH 43221

Mailing address

660 Ackerman Rd
PO Box 183103
Columbus, OH 43202-4500
Phone (614) 293-2663

Other names 1

  • Nikki B. Bester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050926000977 OH Practitioner - Physician Assistant 6709810096 Reassigns benefits to 1 organization

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
Osu Otolaryngology Head and Neck Surgery LLCGroup PAC ID 9830114529, 66 clinicians

Practice addresses (Care Compare)

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-3687

450 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-3687

452 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-3687

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-3687

6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 366-3687

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50001547OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nbenvenuti9832@direct.osumc.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1104889658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 ACKERMAN RD",
            "address_2": "PO BOX 183103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432024500",
            "telephone_number": "614-293-2663",
            "fax_number": "614-293-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 KENNEY ROAD",
            "address_2": "SUITE 3300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43221",
            "telephone_number": "614-293-2663",
            "fax_number": "614-293-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTI",
        "first_name": "NIKKI",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "BESTER",
            "middle_name": "B.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.