Raoaa Benkhadra, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01077720A Issued in IN

Practice address

8840 Calumet Ave Ste 203
Munster, IN 46321-2546

Phone

(219) 595-0535

Fax

(219) 595-5319

NPI assigned

Jun 11, 2012

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Raoaa Ben Khadra Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

General Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBGCCD/Endpoint/BBGCCD

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.

• Family First Medical Clinic PC

  • Primary Care Clinic/Center
  • Munster, IN
  • NPI 1003384017
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1952663593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE STE 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212546",
            "telephone_number": "219-595-0535",
            "fax_number": "219-595-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE STE 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212546",
            "telephone_number": "219-595-0535",
            "fax_number": "219-595-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKHADRA",
        "first_name": "RAOAA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01077720A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087003",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007611",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAOAA",
            "last_name": "BEN KHADRA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gwen Behm, PA-C
• Laila Belton
• Jorge A Benavente, OPTOMETRIST PC
• Kevin F Benfield, MD
• Takita Benford
• Diane Louise Benner, MSN, RN, IBCLC, RLC
• Kyra Bennett
• Tiffany Nicole Berber-Stanisz, FNP
• Sarah E Berber, FNP-BC
• Jerome R Bercik, LCSW LMFT

• General Practice Physician in Munster, IN
• Providers in Munster, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.