Individual provider Active NPI

Elie Benaim, M.D.

  • Urology Physician
  • Dallas, TX
National Provider Identifier
1790748176
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L4242 Issued in TX
Practice address
7777 Forest LN
A230
Dallas, TX 75230-2505
Phone
(972) 566-7765
Fax
(972) 566-4656
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L4242 TX Primary
Urology Physician 208800000X 19631 OK

Addresses

Primary practice location

7777 Forest LN
A230
Dallas, TX 75230-2505

Mailing address

3600 Gaston Ave
Suite 1205
Dallas, TX 75246-1800
Phone (214) 692-8262

Other identifiers 4

IdentifierTypeStateIssuer
P00360206OtherTXRR MEDICARE
152766504MedicaidTX
80424XOtherTXBCBS
152766503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060323000290 TX Practitioner - Urology 3072521673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite A230
Dallas, TX 75230-2568
Phone (972) 566-7765

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19631OKMDUrology Physician
L4242TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC Urology CurrentSince Apr 1, 2006 Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Apr 1, 2006 Accepting new patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients

Locations

3600 Gaston Ave
Ste 1205
Dallas, TX 75246

12606 Greenville Ave
Ste 160
Dallas, TX 75243
Phone (469) 364-7880

7777 Forest Ln
Ste C565
Dallas, TX 75230
Phone (972) 566-7765

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706

9900 N Central Expy
Ste 130
Dallas, TX 75231

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

6957 W Plano Pkwy
Ste 1300
Plano, TX 75093
Phone (972) 820-1400

4708 Alliance Blvd
Ste 835
Plano, TX 75093
Phone (972) 309-0005

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

Interoperability endpoints

  • Direct secure messaging: ebenaim@direct.uspi.com
  • Direct secure messaging: elie.benaim.p1@direct.urologyclinics.nextgenshare.com

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 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1790748176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "A230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7765",
            "fax_number": "972-566-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAIM",
        "first_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L4242",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "19631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00360206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152766504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80424X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152766503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.