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ADAM ROD BENSIMHON MD
NPI 1326485087
Pediatrics - Pediatric Nephrology in Oklahoma City, OK

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-5211 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adam Rod Bensimhon Md NPPES

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

ADAM ROD BENSIMHON MD (NPI 1326485087) is an individual pediatric nephrology provider in Oklahoma City, Oklahoma, licensed in New Hampshire (22859) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326485087
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameADAM ROD BENSIMHONCredential: MD
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104-4637
Mailing AddressPediatric Education Ofc, 101 Manning Drive, Cb# 7593Chapel Hill, NC 27599-0001 · (919) 966-6669 · Fax (919) 966-7490
Phone(405) 271-5211
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1326485087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NH · 22859
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.
1200 CHILDRENS AVE, Oklahoma City, OK 73104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Pediatric Education Ofc, 101 Manning Drive, CB# 7593Chapel Hill, NC 27599-0001 · Phone (919) 966-6669 · Fax (919) 966-7490
Location 21 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Adam Rod Bensimhon 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 ID1254557762
PECOS Enrollment IDI20241204003812
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 Adam Bensimhon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
793 mi
Audiologist
588 E LAKEWOOD BLVD
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1538487400 (616) 494-5860
Dartmouth-Hitchcock Clinic
1,441 mi
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1174176861 (603) 354-5400
Mary Hitchcock Memorial Hospital
1,453 mi
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1023092053 (603) 650-5000

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

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.

KRUTI SHAH
Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MRS. RACHEL LEIGH CROSS APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4412
KAYLEE MARTIN
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5437
KRISTEN PUENTE RD, LD
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
ROA MUQBEL
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. CLAIRE ELIZABETH KUNKEL SMITH DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
JAY OGLE DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
BLAYNE BORDWINE
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700

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 Bensimhon's NPI number?

The NPI number for Adam Bensimhon is 1326485087. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Adam Bensimhon located?

Adam Bensimhon practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-5211.

What is Adam Bensimhon's specialty?

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

Is Adam Bensimhon enrolled in Medicare?

Yes. Adam Bensimhon 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 Adam Bensimhon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Bensimhon reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Holland, MI), Dartmouth-Hitchcock Clinic (Keene, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). 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 Adam Bensimhon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Bensimhon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Oklahoma and Priority Health list Adam Bensimhon 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 Adam Bensimhon was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.