Active NPI
Mohammed Taoudi Benchekroun, MD
- Internal Medicine Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51642
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073 - Phone
- (248) 898-5000
- NPI assigned
- Jul 27, 2009
- Last updated
- Dec 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51642 | SC | Primary |
| Nuclear Medicine Physician | 207U00000X | 51642 | SC | |
| Hospitalist Physician | 208M00000X | 51642 | SC |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073
Mailing address
3601 W 13 Mile Rd 400 FSC/PCS
Royal Oak, MI 48073
Other practice location 1
701 Grove Rd Fl 5
Greenville, SC 29605-4210
Phone (864) 455-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
1901 W Carolina Ave
Hartsville, SC 29550-4701
Phone (800) 491-0909
315 S Midway Hwy
Johnsonville, SC 29555-6242
Phone (800) 491-0909
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51642 | SC | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| SC House Calls Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
| Greenville Health System | Past | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc. | Past | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- mohammed.taoudi.benchekroun.1@7602.direct.athenahealth.com
- mtaoudibenchekroun25538@directmcleodehealth.org
Organizations & group practices 7
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.
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
dba McLeod Outpatient Pharmacy
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1255561189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD 400 FSC/PCS",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-898-5000"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-4411",
"fax_number": "864-455-4480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAOUDI BENCHEKROUN",
"first_name": "MOHAMMED",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "51642",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "SC",
"license": "51642",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "51642",
"primary": false
}
],
"identifiers": [],
"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 Dec 11, 2024; 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.