NEILEN BENVEGNU MD
NPI 1073054490
Orthopaedic Surgery - Sports Medicine in Newport Beach, CA

Q: What is Neilen Benvegnu's NPI number?

The NPI number for Neilen Benvegnu is 1073054490. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Q: What is Neilen Benvegnu's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Neilen Benvegnu was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 17, 2017PECOS EnrolledAccepts Medicare Assignment

441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663(949) 491-9991 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2023, Feb 23, 2023, Mar 17, 2017 (3 updates tracked since 2017).

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About Neilen Benvegnu Md NPPES

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

NEILEN BENVEGNU MD (NPI 1073054490) is an individual sports medicine provider in Newport Beach, California, licensed in California (A158103) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Anaheim, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2017).

NPPES Registry Identity

NPI1073054490

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameNEILEN BENVEGNUCredential: MD

Location Address441 OLD NEWPORT BLVDNewport Beach, CA 92663-4210

Mailing Address441 Old Newport BlvdNewport Beach, CA 92663-4210 · (714) 309-9270

Phone(949) 491-9991

Sole ProprietorYes

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2017

Enumeration DateMarch 17, 2017

Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration

NPPES CertifiedMarch 8, 2023

✔ NPI 1073054490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A158103

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

441 OLD NEWPORT BLVD, Newport Beach, CA 92663

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Secondary Practice Location 1

Location 11051 S Matthew WayAnaheim, CA 92808-1459 · Phone (714) 309-9270

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Neilen Benvegnu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385997196

PECOS Enrollment IDI20230315002763

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Neilen Benvegnu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newport Care Medical Group, Inc

Same address

Orthopaedic Surgery

441 OLD NEWPORT BLVD
Newport Beach, CA 92663

Reassigned Medicare billing, California enrollment
28 clinicians in this Medicare group

NPI 1528401783 (949) 491-9991

Alameda Health System

355 mi

Federally Qualified Health Center (FQHC)

6066 CIVIC TERRACE AVE
Newark, CA 94560

Reassigned Medicare billing, California enrollment
900 clinicians in this Medicare group

NPI 1497956288 (510) 505-1600

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEWPORT CARE MEDICAL GROUP INC

Durable Medical Equipment & Medical Supplies