DAVID BEN-ELI MD
NPI 1295765352
Emergency Medicine in Valhalla, NY

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
95 GRASSLANDS RD, WESTCHESTER MEDICAL CENTER, VALHALLA, NY 10595(914) 493-7000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Ben-eli Md NPPES

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

DAVID BEN-ELI MD (NPI 1295765352) is an individual emergency medicine provider in Valhalla, New York, licensed in New York (2394461-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1295765352
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID BEN-ELICredential: MD
Location Address95 GRASSLANDS RD, WESTCHESTER MEDICAL CENTERValhalla, NY 10595-1646
Mailing AddressPo Box 628Livingston, NJ 07039-0628 · (973) 740-0607
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1295765352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 2394461-1
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.
95 GRASSLANDS RD, Valhalla, NY 10595

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

David Ben-eli 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 ID2163427675
PECOS Enrollment IDI20060915000226
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

5

Medicare enrollment records show David Ben-eli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
480 BEDFORD RD
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Dermatopathology
1468 MADISON AVE, ANNENBERG 03-08
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 1,067 clinicians in this Medicare group
Emergency Medicine
1468 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1427493113 (New York)
  • 325 clinicians in this Medicare group
Emergency Medicine
638 COLUMBUS AVE
New York, NY 10024
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group

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 4

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 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.
67 services67 patients
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.
33 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Ny Eye And Ear Infirmary Of Mount Sinai

Acute Care Hospitals · New York, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330100
Location230 Second AveNew York, NY 10003 · New York County

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Nurse Practitioner (Psychiatric/Mental Health)
95 GRASSLANDS RD
VALHALLA, NY 10595
Nurse Practitioner (Acute Care)
95 GRASSLANDS RD, 7TH FLOOR ONCOLOGY WMC
VALHALLA, NY 10595
Pediatrics (Neonatal-Perinatal Medicine)
95 GRASSLANDS RD, RNICU, 2ND FLOOR, MF CHILDREN'S HOSP AT WMC
VALHALLA, NY 10595
Nurse Practitioner (Family)
95 GRASSLANDS RD
VALHALLA, NY 10595
Nurse Practitioner
95 GRASSLANDS RD, WESTCHESTER MEDICAL CENTER
VALHALLA, NY 10595
Physician Assistant (Surgical)
95 GRASSLANDS RD
VALHALLA, NY 10595
Nurse Practitioner (Family)
95 GRASSLANDS RD
VALHALLA, NY 10595
Pediatrics (Neonatal-Perinatal Medicine)
95 GRASSLANDS RD
VALHALLA, NY 10595

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 David Ben-eli's NPI number?

The NPI number for David Ben-eli is 1295765352. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is David Ben-eli located?

David Ben-eli practices at 95 Grasslands Rd Westchester Medical Center, Valhalla, NY 10595. The listed phone number is (914) 493-7000.

What is David Ben-eli's specialty?

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

Is David Ben-eli enrolled in Medicare?

Yes. David Ben-eli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Ben-eli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Ben-eli reassigns Medicare benefits to 5 organizations: Northern Westchester Hospital Association (Chappaqua, NY), North Shore-Lij Medical PC (Great Neck, NY), Fpa Hospital Based (New York, NY), Icahn School Of Medicine At Mount Sinai (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, 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 David Ben-eli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Ben-eli affiliated with any hospitals?

According to CMS data, David Ben-eli is affiliated with Mount Sinai St Luke's Roosevelt Hospital, Ny Eye And Ear Infirmary Of Mount Sinai and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for David Ben-eli was last updated on March 7, 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.