Individual provider Active NPI

Yassine Benis, M.D.

  • Internal Medicine Physician
  • Hampton, VA
National Provider Identifier
1871784512
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00047675 Issued in WA
Practice address
4000 Coliseum Dr
Ste 350
Hampton, VA 23666-5906
Phone
(757) 827-2127
Fax
(757) 827-2255
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00047675 WA Primary

Addresses

Primary practice location

4000 Coliseum Dr
Ste 350
Hampton, VA 23666-5906

Mailing address

4000 Coliseum Dr
Ste 350
Hampton, VA 23666-5906
Phone (757) 827-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120905000791 VA Practitioner - HospitalistPractitioner - Internal Medicine 7315031697 Reassigns benefits to 1 organization
I20191029003122 WA Practitioner - HospitalistPractitioner - Internal Medicine 7315031697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grays Harbor Community Hospital 91 clinicians

Practice addresses (Care Compare)

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Surgeons CurrentSince Aug 26, 2019 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Aug 7, 2012 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Aug 26, 2019 Accepting new patients
GHCH Physician Services, LLC Internal Medicine Past Accepting new patients

Locations

4000 Coliseum Dr
Ste 350
Hampton, VA 23666
Phone (757) 827-2127

600 Gresham Dr
#5B
Norfolk, VA 23507
Phone (757) 388-3198

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

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 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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1871784512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR",
            "address_2": "STE 350",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665906",
            "telephone_number": "757-827-2127",
            "fax_number": "757-827-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR",
            "address_2": "STE 350",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665906",
            "telephone_number": "757-827-2127",
            "fax_number": "757-827-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIS",
        "first_name": "YASSINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00047675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.