AMIR BABAK BEHNAM MD
NPI 1447215678
Plastic Surgery in Wyomissing, PA
About Amir Babak Behnam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMIR BABAK BEHNAM MD (NPI 1447215678) is an individual plastic surgery provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD435632) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Amir Babak Behnam 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.
Medicare Billing Reassignments
3Medicare enrollment records show Amir Behnam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wyomissing, PA 19610
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Wyomissing, PA 19610
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Douglassville, PA 19518
- Reassigned Medicare billing, Pennsylvania enrollment
- 86 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Amir Behnam's NPI number?
The NPI number for Amir Behnam is 1447215678. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is Amir Behnam located?
Amir Behnam practices at 2610 Keiser Blvd, Wyomissing, PA 19610. The listed phone number is (484) 628-9127.
What is Amir Behnam's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Amir Behnam enrolled in Medicare?
Yes. Amir Behnam 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 Amir Behnam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amir Behnam reassigns Medicare benefits to 3 organizations: Tower Health Medical Group (Wyomissing, PA), Reading Hospital (Wyomissing, PA) and Tower Health Urgent Care, LLC (Douglassville, PA). 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 Amir Behnam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amir Behnam accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Amir Behnam 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 Amir Behnam affiliated with any hospitals?
According to CMS data, Amir Behnam is affiliated with Reading Hospital.
When was this NPI record last updated?
The NPPES record for Amir Behnam was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Amir Babak Behnam, MD · NPI 1447215678
Plastic Surgery physician in Wyomissing, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1447215678 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** MD435632 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2610 KEISER BLVD, Wyomissing, PA 19610-3333
- **Phone:** (484) 628-9127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1154468874, Wyomissing, PA); Reading Hospital (NPI 1285355420, Wyomissing, PA); Tower Health Urgent Care, LLC (NPI 1194293647, Douglassville, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 1998
## Record status
- **NPPES last updated:** March 26, 2021
- **Other identifiers:** Medicaid 102209241 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1447215678) · Data from the CMS NPPES public registry.