DR. BRIAN ANTHONY BENENATI M.D.
NPI 1700373867
Ophthalmology in Detroit, MI

Q: What is Brian Benenati's NPI number?

The NPI number for Brian Benenati is 1700373867. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Q: What is Brian Benenati's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Benenati was last updated on March 14, 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.

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment

4717 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-8900 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 14, 2023, Apr 15, 2018 (2 updates tracked since 2018).

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About Dr. Brian Anthony Benenati M.d. NPPES

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

DR. BRIAN ANTHONY BENENATI M.D. (NPI 1700373867) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301506694) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1700373867

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. BRIAN ANTHONY BENENATICredential: M.D.

Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423

Mailing Address37196 Camellia LnClinton Township, MI 48036-2016 · (586) 226-0902

Phone(313) 577-8900

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2017

Enumeration DateApril 15, 2018

Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1700373867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301506694

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4717 SAINT ANTOINE ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 11101 W University DrRochester, MI 48307-1863 · Phone (248) 601-4900

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Anthony Benenati M.d. 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 ID9931430204

PECOS Enrollment IDI20220608000568

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 4

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

66 services56 patients

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.

57 services50 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

32 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services23 patients

Hospital Affiliations CMS Care Compare

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

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

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

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

DR. HASSAN ALI TOKKO MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-7614

WILLIAM ROBERT LUCAS JR. MD

Ophthalmology

4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

UNIVERSITY PHYSICIAN GROUP

Optometrist

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

TUBA SOHAIL MIRZA DO

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

PRADEEPA YOGANATHAN MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8932

MARYAM ASHRAFKHORASANI

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

NIKITA KAUR BHANGU MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 745-5146

CLAIRE SIMONS MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

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 Brian Benenati's NPI number?

The NPI number for Brian Benenati is 1700373867. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Brian Benenati located?

Brian Benenati practices at 4717 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Brian Benenati's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brian Benenati enrolled in Medicare?

Yes. Brian Benenati 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 Brian Benenati 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 Brian Benenati 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 Brian Benenati affiliated with any hospitals?

According to CMS data, Brian Benenati is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Brian Benenati was last updated on March 14, 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.