Organization Active NPI

Anthony V Benenati DPM PC

  • Podiatrist
  • Saint Clair Shores, MI
National Provider Identifier
1992735252
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001624 Issued in MI
Legal business name
ANTHONY V BENENATI DPM PC
Practice address
27593 Harper
Saint Clair Shores, MI 48081
Phone
(586) 779-6140
Fax
(586) 779-9865
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Maria Benenati
Title
Office Manager
Phone
(586) 779-6140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 5901001624 MI Primary

Addresses

Primary practice location

27593 Harper
Saint Clair Shores, MI 48081

Mailing address

27593 Harper Ave
Saint Clair Shores, MI 48081-1923
Phone (586) 779-6140

Other practice location 1

46591 Romeo Plank Rd Ste 104
Macomb, MI 48044-5705
Phone (586) 416-3668

Other practice location 2

26440 Hoover Rd Ste B
Warren, MI 48089-1190
Phone (586) 756-3338

Other identifiers 2

IdentifierTypeStateIssuer
540E017630OtherBC DME
480E020980OtherBC GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050919000173 MI Part B Supplier - Clinic/Group Practice 8820021975 Receives reassigned benefits from 5 practitioners
Practice locations: Warren, MI; Troy, MI; Macomb, MI; St Clair Shores, MI; Madison Heights, MI; Grosse Pointe, MI; Detroit, MI; Clinton TWP, MI…
O20100930002690 MI DME Supplier - Physician - Podiatry 8820021975 Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

46591 Romeo Plank Rd
Ste 104
Macomb, MI 48044
Phone (586) 416-3668

27593 Harper Ave
St Clr Shores, MI 48081
Phone (586) 779-6140

26440 Hoover Rd
Ste B
Warren, MI 48089
Phone (586) 756-3338

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1992735252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27593 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811923",
            "telephone_number": "586-779-6140",
            "fax_number": "586-779-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27593 HARPER",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-779-6140",
            "fax_number": "586-779-9865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46591 Romeo Plank Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480445705",
            "country_code": "US",
            "telephone_number": "586-416-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26440 Hoover Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480891190",
            "country_code": "US",
            "telephone_number": "586-756-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTHONY V BENENATI DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-779-6140"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DME",
            "identifier": "540E017630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "480E020980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.