BENI MFITIDI MD
NPI 1538796503
Family Medicine in Lake Wylie, SC
About Beni Mfitidi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENI MFITIDI MD (NPI 1538796503) is an individual family medicine provider in Lake Wylie, South Carolina, licensed in South Carolina (90556) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Beni Mfitidi 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 Reassignment
Medicare enrollment records show Beni Mfitidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Wylie, SC 29710
- Reassigned Medicare billing, South Carolina enrollment
- 53 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 6
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caromont Regional Medical Center
Acute Care Hospitals · Gastonia, NCPiedmont Medical Center
Acute Care Hospitals · Rock Hill, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29710 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.
Other Providers at the Same Location NPPES 2
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 Beni Mfitidi's NPI number?
The NPI number for Beni Mfitidi is 1538796503. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Beni Mfitidi located?
Beni Mfitidi practices at 1200 Village Harbor Dr, Lake Wylie, SC 29710. The listed phone number is (803) 631-2858.
What is Beni Mfitidi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Beni Mfitidi enrolled in Medicare?
Yes. Beni Mfitidi 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 organization bills Medicare for Beni Mfitidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beni Mfitidi reassigns Medicare benefits to Caromont Medical Group, Inc. (Lake Wylie, SC). The 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 Beni Mfitidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Beni Mfitidi accept?
Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and Oscar Health Plan of North Carolina, Inc list Beni Mfitidi 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 Beni Mfitidi affiliated with any hospitals?
According to CMS data, Beni Mfitidi is affiliated with Caromont Regional Medical Center and Piedmont Medical Center.
When was this NPI record last updated?
The NPPES record for Beni Mfitidi was last updated on July 28, 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.
# Beni Mfitidi, MD · NPI 1538796503
Family Medicine physician in Lake Wylie, South Carolina. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1538796503 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 90556 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 VILLAGE HARBOR DR, Lake Wylie, SC 29710-9092
- **Phone:** (803) 631-2858
## 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:** Caromont Medical Group, Inc. (NPI 1609467760, Lake Wylie, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1538796503) · Data from the CMS NPPES public registry.