Individual provider Active NPI

Andrea M Pincham Benton, MD

  • Internal Medicine Physician
  • Hoover, AL
National Provider Identifier
1154317618
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13834 Issued in AL
Practice address
3700 Cahaba Beach Rd
Hoover, AL 35242-5225
Phone
(205) 402-8902
Fax
(205) 402-8902
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLC 180 clinicians

Practice addresses (Care Compare)

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000615 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 2769385756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13834ALMDInternal Medicine Physician

Practice roles (5 of 10)

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Aug 26, 2012 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Aug 26, 2012 Accepting new patients
Correct Care, Inc. Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01C0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13834 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

3700 Cahaba Beach Rd
Hoover, AL 35242-5225

Mailing address

3310 Shallowford Circle
Birmingham, AL 35216-4486
Phone (205) 823-7285

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
051521276OtherALBCBS
051521276MedicaidAL
5829126OtherALAETNA

Other names 1

NPPES NPI Registry
  • Andrea Michelle Pincham Benton Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2024.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1154317618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SHALLOWFORD CIRCLE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164486",
            "telephone_number": "205-823-7285",
            "fax_number": "205-338-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425225",
            "telephone_number": "205-402-8902",
            "fax_number": "205-402-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCHAM BENTON",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051521276",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051521276",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5829126",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PINCHAM BENTON",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.