BENTON NEUROCARE INC.
NPI 1063680973
Clinic/Center in Bentonville, AR

Active since February 13, 2008
811 SE 28TH ST STE 5, BENTONVILLE, AR 72712(479) 254-9761(479) 254-9732 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Benton Neurocare Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENTON NEUROCARE INC. (NPI 1063680973) is a healthcare organization registered as a clinic/center in Bentonville, Arkansas and active in the NPI registry since February 2008. The organization lists Ahmad Al-khatib, President, as its authorized official.

NPPES Registry Identity

NPI1063680973
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBENTON NEUROCARE INC.
Location Address811 SE 28TH ST STE 5Bentonville, AR 72712-4294
Mailing Address811 Se 28th St Ste 5Bentonville, AR 72712-4294 · (479) 254-9761 · Fax (479) 254-9732
Fax(479) 254-9732
Organization SubpartNo
Authorized OfficialAhmad Al-khatibPresident · (479) 254-9761
Enumeration DateFebruary 13, 2008
✔ NPI 1063680973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
811 SE 28TH ST STE 5, Bentonville, AR 72712

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benton Neurocare Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Benton Neurocare Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1548273394
811 SE 28TH ST STE 5
Bentonville, AR 72712
(479) 254-9761
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benton Neurocare Inc.'s NPI number?

The NPI number for Benton Neurocare Inc. is 1063680973. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Benton Neurocare Inc. located?

Benton Neurocare Inc. is located at 811 SE 28th St Ste 5, Bentonville, AR 72712. The listed phone number is (479) 254-9761.

What is Benton Neurocare Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Benton Neurocare Inc. enrolled in Medicare?

Yes. Benton Neurocare Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Benton Neurocare Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Benton Neurocare Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Benton Neurocare Inc. was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.