Individual provider Active NPI

Myriam Nimr Shafik Beniamin, M.D.

  • Anesthesiology Physician
  • Potsdam, NY
National Provider Identifier
1487805461
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
273223 Issued in NY
Practice address
50 Leroy St
Potsdam, NY 13676-1786
Phone
(315) 265-3300
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 33

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 33

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
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital Inc 119 clinicians
Canton-Potsdam Hospital 243 clinicians
Gouverneur Hospital 31 clinicians
Delphi Physicians Group, PLLC 4 clinicians

Practice addresses (Care Compare)

214 King St
Suite a
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

77 W Barnes St
Gouverneur, NY 13642-1132
Phone (315) 287-1000

77 W Barney St
Gouverneur, NY 13642-1040

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

Hospital & facility affiliations

  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120719000482 NY Practitioner - Anesthesiology 3870618093 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
273223NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Anesthesiology Current Accepting new patients
Carthage Area Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Gouverneur Hospital CurrentSince Jan 21, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Jun 20, 2020 Accepting new patients
Canton-Potsdam Hospital Anesthesiology Current Accepting new patients
Canton-Potsdam Hospital Anesthesiology CurrentSince May 17, 2019 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jul 8, 2019 Accepting new patients
Albany Medical College CurrentSince Jul 8, 2019 Accepting new patients
Canton-Potsdam Hospital CurrentSince May 17, 2019 Accepting new patients
Delphi Healthcare PLLC Anesthesiology CurrentSince Feb 1, 2019 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Feb 1, 2019 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jul 8, 2019 Accepting new patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Carthage Area Hospital Inc. CurrentSince Oct 1, 2025 Accepting new patients
Delphi Physicians Group, PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Gouverneur Hospital CurrentSince Jan 21, 2020 Accepting new patients

Locations

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 713-5660

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 018436 ME
Anesthesiology Physician 207L00000X 273223 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

50 Leroy St
Potsdam, NY 13676-1786

Mailing address

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Other practice location 1

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address mbeniamin336293@direct.rochesterregional.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2024.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1487805461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "047431428",
            "country_code": "US",
            "telephone_number": "207-834-3155",
            "fax_number": "207-834-2949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENIAMIN",
        "first_name": "MYRIAM",
        "middle_name": "NIMR SHAFIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "018436",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "273223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbeniamin336293@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "50 LeRoy St",
            "city": "Potsdam",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136761786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.