Individual provider Active NPI

Rafik Benaissa, MD

  • Orthopaedic Surgery Physician
  • Minot, ND
National Provider Identifier
1851489280
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8558 Issued in ND
Practice address
101 3Rd Ave SW
Minot, ND 58701-3880
Phone
(701) 857-5500
Fax
(701) 839-6836
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME65754 FL
Orthopaedic Surgery Physician 207X00000X 8558 ND Primary

Addresses

Primary practice location

101 3Rd Ave SW
Minot, ND 58701-3880

Mailing address

PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650

Other practice location 1

4409 Sun N Lake Blvd
Sebring, FL 33872-2170
Phone (863) 402-3480

Other identifiers 1

IdentifierTypeStateIssuer
11530MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160404001491 FL Practitioner - Orthopedic Surgery 5294879110 Reassigns benefits to 2 organizations
I20190522002590 NC Practitioner - Orthopedic Surgery 5294879110 Reassigns benefits to 1 organization
I20230403002465 VA Practitioner - Orthopedic Surgery 5294879110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Ottawa, Faculty of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2700 Healing Way
Wesley Chapel, FL 33543-5453

5036 SE 110TH St
Belleview, FL 34420-3759
Phone (352) 693-3378

Hospital & facility affiliations

  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Dec 20, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Mar 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Mar 1, 2023 Accepting new patients
DLP Wilson Physician Practices LLC Orthopaedic Surgery CurrentSince Mar 18, 2019 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 14, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 14, 2021 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Mar 18, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
West Florida Regional Medical Center Past Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4409 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-0001

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

44 Medical Park Blvd
Ste D
Petersburg, VA 23805
Phone (804) 520-6730

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 9

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 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1851489280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010",
            "telephone_number": "701-857-5650",
            "fax_number": "701-857-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013880",
            "telephone_number": "701-857-5500",
            "fax_number": "701-839-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4409 Sun N Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722170",
            "country_code": "US",
            "telephone_number": "863-402-3480",
            "fax_number": "863-402-3483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAISSA",
        "first_name": "RAFIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME65754",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ND",
            "license": "8558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11530",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.