ILYES BENCHAALA MD
NPI 1346578127
Internal Medicine - Rheumatology in Detroit, MI

Active since December 07, 2009PECOS EnrolledAccepts Medicare Assignment
4160 JOHN R, SUITE 917, DETROIT, MI 48201(313) 745-4525(313) 745-0011 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2022, May 18, 2016 (2 updates tracked since 2016).

About Ilyes Benchaala Md NPPES

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

ILYES BENCHAALA MD (NPI 1346578127) is an individual rheumatology provider in Detroit, Michigan, licensed in Michigan (4301088059) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1346578127
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameILYES BENCHAALACredential: MD
Location Address4160 JOHN R, SUITE 917Detroit, MI 48201-2020
Mailing Address400 Mack AveDetroit, MI 48201-2136
Fax(313) 745-0011
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 7, 2009
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
NPI 1346578127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MI · 4301088059
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301088059 (MI)
4160 JOHN R, Detroit, MI 48201

Secondary Practice Locations 4

Location 118100 Oakwood Blvd Ste 300Dearborn, MI 48124-4085 · Phone (313) 240-4900 · Fax (313) 240-4900
Location 2400 Mack AveDetroit, MI 48201-2136 · Phone (313) 448-9650 · Fax (313) 448-9979
Location 34717 Saint Antoine StDetroit, MI 48201-1423 · Phone (313) 577-8900 · Fax (313) 577-9675
Location 41560 E Maple RdTroy, MI 48083-1135 · Phone (313) 745-4525 · Fax (248) 581-5299

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ilyes Benchaala 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 ID5395906341
PECOS Enrollment IDI20120418000470
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
201 services94 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Cardiovascular Disease)
4160 JOHN R, STE 708
DETROIT, MI 48201
Surgery
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Internal Medicine (Nephrology)
4160 JOHN R, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201
Internal Medicine (Cardiovascular Disease)
4160 JOHN R, #525
DETROIT, MI 48201
Internal Medicine (Nephrology)
4160 JOHN R, SUITE 729
DETROIT, MI 48201
Internal Medicine (Gastroenterology)
4160 JOHN R, SUITE 702
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Surgery (Surgical Critical Care)
4160 JOHN R, HARPER PROFESSIONAL BLDG STE 615
DETROIT, MI 48201

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 Ilyes Benchaala's NPI number?

The NPI number for Ilyes Benchaala is 1346578127. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Ilyes Benchaala located?

Ilyes Benchaala practices at 4160 John R Suite 917, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Ilyes Benchaala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ilyes Benchaala enrolled in Medicare?

Yes. Ilyes Benchaala 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.

What insurance does Ilyes Benchaala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Ilyes Benchaala 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.

Is Ilyes Benchaala affiliated with any hospitals?

According to CMS data, Ilyes Benchaala is affiliated with Beaumont Hospital - Dearborn, Harper University Hospital, Corewell Health Wayne Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Ilyes Benchaala was last updated on February 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.