Individual provider Active NPI

Michelle F Benoit, MD

  • Gynecologic Oncology Physician
  • Palm Springs, CA
National Provider Identifier
1831224369
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
C192007 Issued in CA
Practice address
1180 N Indian Canyon Dr Ste E218
Palm Springs, CA 92262-4885
Phone
(760) 323-6511
NPI assigned
Feb 23, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD00047666 WA
Gynecologic Oncology Physician 207VX0201X C192007 CA Primary
Gynecologic Oncology Physician 207VX0201X MD208267 OR

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste E218
Palm Springs, CA 92262-4885

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-4500

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-4500

Other identifiers 1

IdentifierTypeStateIssuer
163374501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI, OR, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070905000349 WA Practitioner - Gynecological Oncology 9537058250 Reassigns benefits to 3 organizations
I20211026000839 WI Practitioner - Obstetrics/Gynecology 9537058250 Reassigns benefits to 1 organization
I20220221002206 OR Practitioner - Obstetrics/Gynecology 9537058250 Reassigns benefits to 1 organization
I20240516000798 CA Practitioner - Obstetrics/Gynecology 9537058250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite W201
Palm Springs, CA 92262-4876
Phone (760) 416-4511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C192007CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Jun 19, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 15, 2012 Accepting new patients
Multicare Health System CurrentSince Apr 1, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Multicare Health System Current Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Obstetrics & Gynecology CurrentSince Oct 19, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 19, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 19, 2023 Accepting new patients
Multicare Health System CurrentSince Apr 1, 2009 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 19, 2023 Accepting new patients
First Choice Physician Partners CurrentSince May 1, 2024 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology Past Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology Past Accepting new patients

Locations

47111 Monroe St
#F
Indio, CA 92201
Phone (760) 347-6191

47647 Caleo Bay Dr
Ste 210
La Quinta, CA 92253
Phone (760) 673-7010

1180 N Indian Canyon Dr
Ste E218
Palm Springs, CA 92262
Phone (760) 416-4770

1180 N Indian Canyon Dr
Ste W201
Palm Springs, CA 92262
Phone (760) 416-4575

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-6862

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

19260 SW 65th Ave
Ste 400
Tualatin, OR 97062
Phone (503) 413-8654

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

2121 NE 139th St
Ste 120
Vancouver, WA 98686
Phone (360) 487-1717

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 1

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1831224369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4500",
            "fax_number": "503-494-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E218",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624885",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-418-4500",
            "fax_number": "503-494-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "MICHELLE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "WA",
            "license": "MD00047666",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "C192007",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OR",
            "license": "MD208267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163374501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.