Active NPI
David Elliott Beneson, D.P.M.
- Podiatrist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DB001099
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2796798 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
Practice addresses (Care Compare)
2530 Crooks Rd
Royal Oak, MI 48073-3300
Phone (248) 435-4777
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 65 of 100
- Quality
- 30
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 283 |
| Removal or shaving of skin growth | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB001099 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David E. Beneson D.P.M., P.C. | Podiatrist | Current | Accepting new patients |
| Mycare Health Center | Current | Accepting new patients | |
| Mycare Health Center | Current | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
- dbeneson250915@direct.hfhs.org
- david.beneson@direct.secureehrthomas.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Center Line, MI
- NPI 1770284564
-
- Federally Qualified Health Center (FQHC)
- Center Line, MI
- NPI 1811391212
-
- Foot & Ankle Surgery Podiatrist
- Sterling Heights, MI
- NPI 1780864249
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.