NPIMap

Individual provider Active NPI

Katherine Elizabeth Beben, MD

  • Family Medicine Physician
  • Seneca, SC
National Provider Identifier
1235322736
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29823 Issued in SC
Practice address
139 Lila Doyle Dr
Seneca, SC 29672
Phone
(864) 482-3483
Fax
(864) 482-3497
NPI assigned
Aug 20, 2007
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29823 SC Primary

Addresses

Primary practice location

139 Lila Doyle Dr
Seneca, SC 29672

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

12016 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-6141

Other practice location 2

12016 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-6141

Other identifiers 5

IdentifierTypeStateIssuer
1235322736MedicaidMO
P01192732OtherSCRR MEDICARE
P00852008OtherRAILROAD MEDICARE GROUP #CB9013
298234MedicaidSC
431560263OtherTRICARE WEST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbeben121836@direct.ghs.myhfn.org Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000073 SC Practitioner - Family Practice 3577697861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12016 N Radio Station Rd
Seneca, SC 29678-1143
Phone (864) 882-6141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29823SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Anmed Health Family Medicine CurrentSince Aug 20, 2012 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Anmed Health Family Medicine CurrentSince Aug 20, 2012 Accepting new patients
Prisma Health-Upstate Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Ste 2000
Anderson, SC 29621
Phone (864) 225-5131

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

12016 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-6141

139 Lila Doyle Dr
Seneca, SC 29672
Phone (864) 482-3483

Interoperability endpoints

  • Direct secure messaging: kbeben121836@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1235322736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 LILA DOYLE DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "29672",
            "telephone_number": "864-482-3483",
            "fax_number": "864-482-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12016 N Radio Station Rd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "29678",
            "country_code": "US",
            "telephone_number": "864-882-6141",
            "fax_number": "864-882-6680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12016 N Radio Station Rd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "29678",
            "country_code": "US",
            "telephone_number": "864-882-6141",
            "fax_number": "864-882-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBEN",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235322736",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01192732",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #CB9013",
            "identifier": "P00852008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298234",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbeben121836@direct.ghs.myhfn.org",
            "affiliation": "N",
            "endpointDescription": "Provider",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kbeben121836@direct.ghs.myhfn.org",
            "address_1": "139 Lila Doyle Dr",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.