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DR. KELLY ANN BENEDICT M.D.
NPI 1144429747
Pediatrics - Pediatric Nephrology in Phoenix, AZ

Active since July 13, 2007PECOS Enrolled
3333 E CAMELBACK RD, STE 180, PHOENIX, AZ 85018(602) 997-0484(602) 224-3315 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kelly Ann Benedict M.d. NPPES

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

DR. KELLY ANN BENEDICT M.D. (NPI 1144429747) is an individual pediatric nephrology provider in Phoenix, Arizona, licensed in Arizona (49162) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144429747
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. KELLY ANN BENEDICTCredential: M.D.
Location Address3333 E CAMELBACK RD, STE 180Phoenix, AZ 85018-2322
Mailing Address2545 E Thomas Rd, Ste 110Phoenix, AZ 85016-7969 · (602) 903-1532 · Fax (602) 956-0567
Phone(602) 997-0484
Fax(602) 224-3315
Sole ProprietorNo
Enumeration DateJuly 13, 2007
Last NPPES UpdateMarch 1, 2017
✔ NPI 1144429747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in AZ · 49162
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3333 E CAMELBACK RD, Phoenix, AZ 85018
Open in Google Maps ↗

Other Identifiers 1

Medicaid921982AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Ann Benedict M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Benedict reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital
2.8 mi
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000
District Medical Group, Inc
3.7 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Banner Physician Super Specialists Arizona LLC
4.2 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
NPI 1841573870 (602) 747-4000

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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims1,460 services$0.30 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers18 claims18 services$12.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

INTERNAL MEDICINE OF ARIZONA PC
Internal Medicine
3333 E CAMELBACK RD, SUITE 122
PHOENIX, AZ 85018
Maricopa County (602) 522-1900
AKDHC, LLC
Internal Medicine (Nephrology)
3333 E CAMELBACK RD, SUITE 180
PHOENIX, AZ 85018
Maricopa County (602) 997-0484
DR. GENE ROBERT MEGER M.D.
Specialist
3333 E CAMELBACK RD, SUITE 140
PHOENIX, AZ 85018
Maricopa County (602) 957-6000
MONICA ELAINE WAGNER MD
Pediatrics
3333 E CAMELBACK RD, SUITE 175
PHOENIX, AZ 85018
Maricopa County (602) 840-3120
AWARE PSYCH
Psychiatry & Neurology (Psychiatry)
3333 E CAMELBACK RD
PHOENIX, AZ 85018
Maricopa County (480) 217-4090

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 Kelly Benedict's NPI number?

The NPI number for Kelly Benedict is 1144429747. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Kelly Benedict located?

Kelly Benedict practices at 3333 E Camelback Rd Ste 180, Phoenix, AZ 85018. The listed phone number is (602) 997-0484.

What is Kelly Benedict's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Kelly Benedict enrolled in Medicare?

Yes. Kelly Benedict is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Benedict's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Benedict reassigns Medicare benefits to 3 organizations: Phoenix Children's Hospital (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ) and Banner Physician Super Specialists Arizona LLC (Phoenix, AZ). Each 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 Kelly Benedict's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Benedict accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Kelly Benedict as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Benedict was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.