Individual provider Active NPI

Vincent Rafer Benig, M.D.

  • Family Medicine Physician
  • Morris, IL
National Provider Identifier
1487609772
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036105160 Issued in IL
Practice address
1345 Edwards St Ste 2
Morris, IL 60450-1692
Phone
(815) 942-1421
Fax
(815) 942-5487
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036105160 IL Primary

Addresses

Primary practice location

1345 Edwards St Ste 2
Morris, IL 60450-1692

Mailing address

1144 W Jefferson St
Ste 200
Shorewood, IL 60404-0704
Phone (815) 729-1010

Other practice location 1

1144 W Jefferson St
Ste 200
Shorewood, IL 60404-0704
Phone (815) 729-1010

Other practice location 2

150 W High St
Morris, IL 60450-1497
Phone (815) 942-2932

Other identifiers 2

IdentifierTypeStateIssuer
0001635931OtherILBCBS GRP PROVIDER NUMBER
036105160MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vbenig141469@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041019000376 IL Practitioner - Family Practice 4183684657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

100 Gore Rd
Morris, IL 60450-9466
Phone (815) 942-0545

Hospital & facility affiliations

  • Newsome Home Health Care & Purpose Care of Illinois - Joliet Home health agency, Joliet, IL, CCN 148208
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Sep 9, 2024 Accepting new patients
Morris Hospital CurrentSince Sep 9, 2024 Accepting new patients
Morris Hospital Family Medicine Past Accepting new patients

Locations

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

1345 Edwards St
Ste 2
Morris, IL 60450
Phone (815) 705-1000

725 School St
Ste A
Morris, IL 60450

1345 Edwards St
Ste 1
Morris, IL 60450
Phone (815) 318-5010

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

150 W High St
Morris, IL 60450
Phone (815) 942-2129

Interoperability endpoints

  • Direct secure messaging: vbenig141469@ce-direct.presencehealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1487609772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 W JEFFERSON ST",
            "address_2": "STE 200",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604040704",
            "telephone_number": "815-729-1010",
            "fax_number": "888-523-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 EDWARDS ST STE 2",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501692",
            "telephone_number": "815-942-1421",
            "fax_number": "815-942-5487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 W Jefferson St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shorewood",
            "state": "IL",
            "postal_code": "604040704",
            "country_code": "US",
            "telephone_number": "815-729-1010",
            "fax_number": "888-523-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W High St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501497",
            "country_code": "US",
            "telephone_number": "815-942-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENIG",
        "first_name": "VINCENT",
        "middle_name": "RAFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP PROVIDER NUMBER",
            "identifier": "0001635931",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105160",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbenig141469@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "1144 W Jefferson St",
            "address_2": "Ste 200",
            "city": "Shorewood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604040704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.