NPIMap

Individual provider Active NPI

David Jeffrey Beneigh, MD

  • Family Medicine Physician
  • Hazard, KY
National Provider Identifier
1245735554
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4654 Issued in KY
Practice address
750 Morton Blvd
Hazard, KY 41701-9469
Phone
(606) 439-3557
Fax
(606) 436-6988
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 R4654 KY Primary

Addresses

Primary practice location

750 Morton Blvd
Hazard, KY 41701-9469

Mailing address

750 Morton Blvd
Hazard, KY 41701-9469
Phone (606) 439-3557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210812003147 KY Practitioner - Family Practice 6608103080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
BLDG Suite303
Louisville, KY 40202-1831
Phone (502) 629-4409

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4654KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

Interoperability endpoints

  • Direct secure messaging: dbeneigh216188@direct.nortonhealthcare.org

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1245735554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-439-3557",
            "fax_number": "606-436-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-439-3557",
            "fax_number": "606-436-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEIGH",
        "first_name": "DAVID",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R4654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.