Individual provider Active NPI

Daniel N Benoit, DPM

  • Podiatrist
  • Bourbonnais, IL
National Provider Identifier
1124016100
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004741 Issued in IL
Practice address
11 Briarcliff Prof Ctr
Bourbonnais, IL 60914-1775
Phone
(815) 933-7077
Fax
(815) 933-4430
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004741 IL Primary

Addresses

Primary practice location

11 Briarcliff Prof Ctr
Bourbonnais, IL 60914-1775

Mailing address

301 E Hickory St
Suite 2
Streator, IL 61364-2287
Phone (815) 672-0280

Other identifiers 1

IdentifierTypeStateIssuer
016004741MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000435 IL Practitioner - Podiatry 0547209355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 Briarcliff Prof Ctr
Bourbonnais, IL 60914-1775

301 E Hickory St
Streator, IL 61364-2287
Phone (815) 672-0280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as individual
Quality
59.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98
Removal of skin lesions1-10
Removal of nail tissue1297
Removal or shaving of skin growth51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot and Ankle Clinics, PC Podiatrist CurrentSince Sep 21, 1999 Accepting new patients
Associated Foot and Ankle Clinics, PC Podiatrist CurrentSince Feb 9, 1999 Accepting new patients
Elmhurst Orthopaedics, SC Past Accepting new patients
Presence Service Corporation Past Accepting new patients

Locations

11 Briarcliff Prof Ctr
Bourbonnais, IL 60914
Phone (815) 933-7077

301 E Hickory St
Ste 2
Streator, IL 61364
Phone (815) 672-0280

Organizations & group practices 4

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 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1124016100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E HICKORY ST",
            "address_2": "SUITE 2",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642287",
            "telephone_number": "815-672-0280",
            "fax_number": "815-672-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRIARCLIFF PROF CTR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141775",
            "telephone_number": "815-933-7077",
            "fax_number": "815-933-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "DANIEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004741",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.