Individual provider Active NPI

David Benkoff, M.D.

  • Gastroenterology Physician
  • Southfield, MI
National Provider Identifier
1982688693
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301038180 Issued in MI
Practice address
26771 W 12 Mile Rd
Southfield, MI 48034-1539
Phone
(248) 746-0010
Fax
(248) 746-9588
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301038180 MI Primary

Addresses

Primary practice location

26771 W 12 Mile Rd
Southfield, MI 48034-1539

Mailing address

26771 W 12 Mile Rd
Southfield, MI 48034-1539
Phone (248) 746-0010

Other identifiers 3

IdentifierTypeStateIssuer
0631045OtherMIBCBS INDIVIDUAL
700F314390OtherMIBLUE SHIELD
1982688693MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20070305000281 MI Practitioner - Internal Medicine 7012940638 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC Gastroenterology CurrentSince Nov 1, 2011 Accepting new patients

Locations

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

32255 Northwestern Hwy
Ste 130B
Farmington Hills, MI 48334
Phone (248) 354-9666

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

25241 Grand River Ave
Redford, MI 48240
Phone (313) 538-3099

26400 W 12 Mile Rd
Ste 20
Southfield, MI 48034
Phone (248) 351-0552

5821 W Maple Rd
Ste 190
West Bloomfield, MI 48322
Phone (248) 855-0407

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1982688693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-746-0010",
            "fax_number": "248-746-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-746-0010",
            "fax_number": "248-746-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKOFF",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301038180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "0631045",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F314390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982688693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.