Individual provider Active NPI

David Elliott Beneson, D.P.M.

  • Podiatrist
  • Royal Oak, MI
National Provider Identifier
1124060132
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DB001099 Issued in MI
Practice address
2530 Crooks Rd
Royal Oak, MI 48073-3310
Phone
(248) 435-4777
Fax
(248) 435-3374
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DB001099 MI Primary

Addresses

Primary practice location

2530 Crooks Rd
Royal Oak, MI 48073-3310

Mailing address

2530 Crooks Rd
Royal Oak, MI 48073-3310
Phone (248) 435-4777

Other identifiers 1

IdentifierTypeStateIssuer
2796798MedicaidMI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000706 MI Practitioner - Podiatry 8527127729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David E. Beneson D.P.M., P.C.Group PAC ID 9739212820, 2 clinicians

Practice addresses (Care Compare)

2530 Crooks Rd
Royal Oak, MI 48073-3300
Phone (248) 435-4777

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
65 of 100Reported as individual
Quality
30
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue283
Removal or shaving of skin growth184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DB001099MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Beneson D.P.M., P.C. Podiatrist CurrentSince Jan 19, 1999 Accepting new patients
Mycare Health Center CurrentSince Nov 1, 2021 Accepting new patients
Mycare Health Center CurrentSince Nov 1, 2021 Accepting new patients
Sterling Family Foot Care PC Past Accepting new patients
Mycare Health Center Past Accepting new patients

Locations

6800 E 10 Mile Rd
Center Line, MI 48015

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

18 Market St
Ste C
Mount Clemens, MI 48043
Phone (586) 783-2222

2530 Crooks Rd
Royal Oak, MI 48073
Phone (248) 288-2277

2530 Crooks Rd
Ste 1
Royal Oak, MI 48073
Phone (248) 435-4777

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
  • Direct secure messaging: dbeneson250915@direct.hfhs.org
  • Direct secure messaging: david.beneson@direct.secureehrthomas.com
  • Direct secure messaging: david.beneson.1@11987.direct.athenahealth.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 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1124060132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733310",
            "telephone_number": "248-435-4777",
            "fax_number": "248-435-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733310",
            "telephone_number": "248-435-4777",
            "fax_number": "248-435-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENESON",
        "first_name": "DAVID",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "DB001099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796798",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.