Individual provider Active NPI

Benyamine Mizrahi, M.D.

  • Colon & Rectal Surgery Physician
  • Overland Park, KS
National Provider Identifier
1902095805
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
2010027719 Issued in MO
Practice address
4370 W 109TH St
Suite 350
Overland Park, KS 66211-1361
Phone
(816) 941-0800
Fax
(816) 941-0080
NPI assigned
Oct 17, 2007
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 2010027719 MO Primary
Colon & Rectal Surgery Physician 208C00000X 04-34588 KS

Addresses

Primary practice location

4370 W 109TH St
Suite 350
Overland Park, KS 66211-1361

Mailing address

6060 N Oak Trfy
Suite 101
Gladstone, MO 64118-5130
Phone (816) 941-0800

Other names 1

  • Ben Mizrahi Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BENYAMINE.MIZRAHI@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20101015001272 MO Practitioner - Colorectal Surgery (Proctology)Practitioner - General Practice 7012100530 Reassigns benefits to 1 organization
I20110107000063 KS Practitioner - Colorectal Surgery (Proctology)Practitioner - General Practice 7012100530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Practice
Education
University of Vermont College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menorah Medical Group LLCGroup PAC ID 1355535162, 21 clinicians

Practice addresses (Care Compare)

4370 W 109TH St
Suite 350
Overland Park, KS 66211-1370
Phone (816) 941-0800

6060 N Oak Trfy
Suite 101
Gladstone, MO 64118-5189
Phone (816) 941-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.28 of 100Reported as group
Quality
78.53
Promoting interoperability
99
Improvement activities
40
Cost
63.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-34588KSMDColon & Rectal Surgery Physician
2010027719MOMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menorah Medical Group, LLC CurrentSince Mar 29, 2017 Accepting new patients
South Kansas City Surgical Center, LC PastSince Sep 30, 2010 Accepting new patients
Centerpoint Womens Services LLC PastSince Sep 22, 2025 Accepting new patients
Menorah Medical Group, LLC Past Accepting new patients

Locations

10100 W 87th St
Ste 200
Overland Park, KS 66212
Phone (816) 947-0800

4370 W 109th St
Ste 350
Overland Park, KS 66211

5701 W 119th St
Ste 410
Overland Park, KS 66209
Phone (913) 345-3650

19550 E 39th St S
Ste 320
Independence, MO 64057
Phone (816) 350-4306

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

6060 N Oak Trfy
Ste 101
Kansas City, MO 64118
Phone (816) 285-8479

Interoperability endpoints

  • Direct secure messaging: benyamine.mizrahi@hca2.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1902095805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N OAK TRFY",
            "address_2": "SUITE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185130",
            "telephone_number": "816-941-0800",
            "fax_number": "816-941-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W 109TH ST",
            "address_2": "SUITE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111361",
            "telephone_number": "816-941-0800",
            "fax_number": "816-941-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "BENYAMINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2010027719",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "04-34588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BENYAMINE.MIZRAHI@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4370 W 109th St",
            "address_2": "SUITE 350",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "MIZRAHI",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.