Active NPI
Shamiram S Benjamin, MD, MBA
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1447949243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 80139
- Practice address
- 4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693 - Phone
- (480) 961-2303
- Fax
- (480) 961-0419
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 80139 | AZ | |
| Internal Medicine Physician | 207R00000X | 80139 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693
Mailing address
4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303
Other practice location 1
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 961-2303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20230807001349 | AZ | Order and Referring Only - Internal Medicine | 2860853876 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1447949243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487693",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487693",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419"
}
],
"practiceLocations": [
{
"address_1": "1955 W Frye Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852246282",
"country_code": "US",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENJAMIN",
"first_name": "SHAMIRAM",
"middle_name": "S",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "80139",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "80139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.