ADAM BENJAMIN MD
NPI 1083235436
Student in an Organized Health Care Education/Training Program in Evanston, IL

Active since April 27, 2020PECOS Enrolled
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 570-2700 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Benjamin Md NPPES

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

ADAM BENJAMIN MD (NPI 1083235436) is an individual student in an organized health care education/training program in Evanston, Illinois and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083235436
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM BENJAMINCredential: MD
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Sole ProprietorNo
Enumeration DateApril 27, 2020
Last NPPES UpdateMay 11, 2020
NPPES CertifiedMay 11, 2020
NPI 1083235436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2650 RIDGE AVE STE 1304, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adam Benjamin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Dermatology
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201

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 Adam Benjamin's NPI number?

The NPI number for Adam Benjamin is 1083235436. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Adam Benjamin located?

Adam Benjamin practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (847) 570-2700.

What is Adam Benjamin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Benjamin enrolled in Medicare?

Yes. Adam Benjamin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Benjamin was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.