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KELLY BENABOU MD
NPI 1558743864
Obstetrics & Gynecology in Springfield, MA

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
3300 MAIN STREET, 4TH FL, SUITE D, SPRINGFIELD, MA 01107(413) 794-7045(413) 794-7345 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Benabou Md NPPES

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

KELLY BENABOU MD (NPI 1558743864) is an individual obstetrics & gynecology provider in Springfield, Massachusetts, licensed in Massachusetts (287530) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2015).

NPPES Registry Identity

NPI1558743864
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKELLY BENABOUCredential: MD
Location Address3300 MAIN STREET, 4TH FL, SUITE DSpringfield, MA 01107-1112
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-7045
Fax(413) 794-7345
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1558743864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 287530
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 62422 (CT)
3300 MAIN STREET, Springfield, MA 01107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Kelly Benabou 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 ID7517263387
PECOS Enrollment IDI20210804003415
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 Reassignment

Medicare enrollment records show Kelly Benabou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baystate Medical Practices, Inc
0.4 mi
Emergency Medical Services
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,537 clinicians in this Medicare group
NPI 1548205909 (413) 794-5700

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

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 20

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

DANIELLE ELISABETH DESERRES PA-C
Physician Assistant (Medical)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
KATHARINE A GREEN CNM
Advanced Practice Midwife
3300 MAIN STREET, SUITE 4D
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
STUART ALAN ANFANG M.D.
Psychiatry & Neurology (Psychiatry)
3300 MAIN STREET, SUITE 3C & 3D
SPRINGFIELD, MA 01107
Hampden County (413) 794-7035
KATHLEEN A KANG NP
Nurse Practitioner (Family)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
DR. JULIO A. MIRANDA M.D.
Internal Medicine (Pulmonary Disease)
3300 MAIN STREET, 2ND FL, SUITE B
SPRINGFIELD, MA 01107
Hampden County (413) 794-7330
MRS. ELLEN ELIZABETH HAYNES JOHNSON M.S.
Psychologist
3300 MAIN STREET, 4A
SPRINGFIELD, MA 01107
Hampden County (413) 794-7035
DALLAS SELTZER PA
Physician Assistant (Medical)
3300 MAIN STREET, 3RD FL, SUITE C&D
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
ANNA LOUISE PASKAUSKY N.P.
Nurse Practitioner (Family)
3300 MAIN STREET, 3RD FL, SUITE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-7364

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 Kelly Benabou's NPI number?

The NPI number for Kelly Benabou is 1558743864. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Kelly Benabou located?

Kelly Benabou practices at 3300 Main Street 4th Fl, Suite D, Springfield, MA 01107. The listed phone number is (413) 794-7045.

What is Kelly Benabou's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Benabou enrolled in Medicare?

Yes. Kelly Benabou 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 Kelly Benabou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Benabou reassigns Medicare benefits to Baystate Medical Practices, Inc (Springfield, MA). 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 Kelly Benabou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Benabou accept?

Health plans from Taro Health list Kelly Benabou 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 Kelly Benabou affiliated with any hospitals?

According to CMS data, Kelly Benabou is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Benabou was last updated on September 1, 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.