Individual provider Active NPI

Robin Benis, M.D.

  • Pediatrics Physician
  • Beachwood, OH
National Provider Identifier
1295736874
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35057002 Issued in OH
Practice address
23250 Chagrin Blvd
Suite #130
Beachwood, OH 44122-5470
Phone
(216) 514-0100
Fax
(216) 514-0171
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35057002 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd
Suite #130
Beachwood, OH 44122-5470

Mailing address

601 E Main St Ste 101
Mahomet, IL 61853-7460
Phone (913) 359-6019

Other practice location 1

190 N Union St Ste 203
Akron, OH 44304-1362
Phone (913) 359-6019

Other identifiers 1

IdentifierTypeStateIssuer
0908094MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070716000238 OH Practitioner - Pediatric Medicine 2466552708 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057002OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Apr 12, 2023 Accepting new patients
MBS Envision LLC CurrentSince Mar 19, 2023 Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
Bes of Ohio, LLC Past Accepting new patients
Pediatric Partners of Cleveland, Inc. Pediatrics PastSince Feb 1, 2014 Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients
Sanjay K. Choudhary, MD Past Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients
Patheous Medical PLLC PastSince Nov 14, 2023 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients
Physician House Call Services LLC PastSince Apr 15, 2009 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients
Physician House Call Services LLC Past Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients
Bes of Ohio, LLC, Dba Medgroup Past Accepting new patients

Locations

601 E Main St
Ste 101
Mahomet, IL 61853
Phone (913) 359-6001

12100 Superior Ave
Cleveland, OH 44106
Phone (216) 851-2600

13301 Miles Ave
Cleveland, OH 44105
Phone (216) 751-3100

711 E 222nd St
Euclid, OH 44123
Phone (216) 797-6987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robin.benisfriedman.p1@direct.neon.nextgenshare.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1295736874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 101",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537460",
            "telephone_number": "913-359-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE #130",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-514-0100",
            "fax_number": "216-514-0171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 N Union St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041362",
            "country_code": "US",
            "telephone_number": "913-359-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENIS",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35057002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908094",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.