Active NPI
Christina Lee Benjamin, DO
- Pediatric Cardiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 8502
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-1000
- NPI assigned
- Apr 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 8502 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (160) 293-3312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137213 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930
Hospital & facility affiliations
- Phoenix Children'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8502 | AZ | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Past | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
Interoperability endpoints
- cbenjamin262410@direct.valleywisehealth.org
Organizations & group practices 11
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1972836088
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Rural Acute Care Hospital
- Maricopa, AZ
- NPI 1386633915
-
- Community/Behavioral Health Agency
- Chandler, AZ
- NPI 1821599424
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1972037034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "160-293-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "CHRISTINA",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-16",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "AZ",
"license": "8502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137213",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.