Active NPI
David Benson, M.D.
- Pain Medicine (Anesthesiology) Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- E-12336
- Practice address
- 3101 SE 14TH St
Bentonville, AR 72712-4900 - Phone
- (479) 986-6199
- Fax
- (479) 636-0371
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | E-12336 | AR | Primary |
Addresses
Primary practice location
3101 SE 14TH St
Bentonville, AR 72712-4900
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979
Other practice location 1
2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone (479) 338-8000
Other practice location 2
9200 W Wisconsin Ave
MCW Department of Anesthesiology Froedtert Hospital
Milwaukee, WI 53226-3522
Phone (414) 805-2715
Other practice location 3
9200 W Wisconsin Ave
MCW Department of Anesthesiology Froedtert Hospital
Milwaukee, WI 53226-3522
Phone (414) 805-2715
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236382001 | Medicaid | AR | |
| P02258016 | Other | AR | RAILROAD |
| HDX02 | Other | AR | BCBS ARKANSAS |
| 200844950A | Medicaid | OK | |
| 1417367103 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190625001069 | AR | Practitioner - Pain Management | 8527349547 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Rogers | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Anesthesia Services of Benton County PA | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
Interoperability endpoints
- dbenson1030546@directc.mercy.net
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
AR
-
- Home Health Agency
- Rogers, AR
- NPI 1942265160
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1699016774
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Rogers
Practice addresses (Care Compare)
3101 SE 14TH St Pain Management Highw
Bentonville, AR 72712-4900
Phone 47998661994900
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1417367103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "314-543-6979",
"fax_number": "314-364-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SE 14TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124900",
"telephone_number": "479-986-6199",
"fax_number": "479-636-0371"
}
],
"practiceLocations": [
{
"address_1": "2710 S Rife Medical Ln",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727581452",
"country_code": "US",
"telephone_number": "479-338-8000",
"fax_number": "479-338-3056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_2": "MCW Department of Anesthesiology Froedtert Hospital",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-2715",
"fax_number": "414-259-1522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_2": "MCW Department of Anesthesiology Froedtert Hospital",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-2715",
"fax_number": "414-259-1522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AR",
"license": "E-12336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236382001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P02258016",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ARKANSAS",
"identifier": "HDX02",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200844950A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417367103",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.