Cecilia L Benz, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Scottsdale, AZ
NPI 1457736704 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1457736704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 68058 (AZ)
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5499 - Phone
- (480) 301-8000
- NPI assigned
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
820 4TH St N
Fargo, ND 58102-4539
Phone (701) 234-6161
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Sanford Bemidji Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230530003132 | AZ | Practitioner - Thoracic Surgery | 6800104373 | Reassigns benefits to 1 organization |
| I20240930003192 | ND | Practitioner - Thoracic Surgery | 6800104373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL13782 | ND | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Surgery | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Mayo Clinic Arizona | Current |
Accepting new patients | |
| Mayo Clinic Arizona | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
13400 E Shea Blvd
Scottsdale, AZ 85259
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RL13782 | ND | |
| Vascular Surgery Physician | 2086S0129X | 68058 | AZ | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 68058 | AZ | Yes |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000
Other practice location 1
501 N Columbia Rd Stop 9037
UND Department of Surgery
Grand Forks, ND 58203-2817
Phone (701) 777-3067
Other providers in Scottsdale, AZ
- Levi Benson
- Matthew Russell Benson
- Brooke Bentley
- Jessica Marie Bento
- Toby Sara Benton
- Ruth Benzar
- Roberto P Benzo
- Azizullah Ahmadallah Beran
- Jeffrey Joseph Beran
- Tara Okeeffe Beran
All providers in Scottsdale, AZ · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.