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KAREN BENABOU M.D., M.P.H
NPI 1225492374
Emergency Medicine in Forest Hills, NY

Active since April 05, 2016PECOS Enrolled
99.95/100
CMS Quality Rating
10201 66TH RD, FOREST HILLS, NY 11375(718) 830-4200 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2021, May 20, 2021 (2 updates tracked since 2021).

About Karen Benabou M.d., M.p.h NPPES

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

KAREN BENABOU M.D., M.P.H (NPI 1225492374) is an individual emergency medicine provider in Forest Hills, New York, licensed in New York (307084) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raton.

NPPES Registry Identity

NPI1225492374
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKAREN BENABOUCredential: M.D., M.P.H
Location Address10201 66TH RDForest Hills, NY 11375-2029
Mailing Address353 RidgewayWhite Plains, NY 10605-4120 · (914) 462-2892
Phone(718) 830-4200
Sole ProprietorYes
Enumeration DateApril 5, 2016
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1225492374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 307084✔ Licensed in NM · MD2021-0273
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10201 66TH RD, Forest Hills, NY 11375
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Secondary Practice Location 1

Location 1203 Hospital DrRaton, NM 87740-2012 · Phone (575) 445-7720 · Fax (575) 445-7737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Benabou M.d., M.p.h 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

2

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

Jamaica Hospital
2.7 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
North Shore - Lij Medical PC
7.6 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services48 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services24 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

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.

SRAVYA REDDY MUNDLA
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
MR. SHIVNATHAN PILLAI SA
Specialist
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4000
DR. JOHN DEPETRILLO JR. M.D.
Internal Medicine (Critical Care Medicine)
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4359
XIN YUN LI MD
Surgery (Vascular Surgery)
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4093
FARHAD MOHAMMAD GAZI MD
Emergency Medicine
10201 66TH RD, MEDICAL STAFF OFFICE
FOREST HILLS, NY 11375
Queens County (718) 830-4200
ANDREA ROMMAL
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
MARK WANIS DO
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
DR. PAUL SOLODNIK M.D.
Radiology (Diagnostic Radiology)
10201 66TH RD, RADIOLOGY DEPARTMENT
FOREST HILLS, NY 11375
Queens County (952) 595-1100

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 Karen Benabou's NPI number?

The NPI number for Karen Benabou is 1225492374. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Karen Benabou located?

Karen Benabou practices at 10201 66th Rd, Forest Hills, NY 11375. The listed phone number is (718) 830-4200.

What is Karen Benabou's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Karen Benabou enrolled in Medicare?

Yes. Karen Benabou is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Benabou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Benabou reassigns Medicare benefits to 2 organizations: Jamaica Hospital (Jamaica, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Karen Benabou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Benabou was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.