DR. MARK M BENKEL MD
NPI 1770699787
Pediatrics in Brooklyn, NY
NPI Status: Active since August 22, 2006
Contact Information
6410 VETERANS AVE
SUITE 105
BROOKLYN, NY
ZIP 11234
Phone: (718) 209-8600
Fax: (718) 209-8605
- Individual
- Male
- Pediatrics
- Opted-Out Medicare
- CLIA Number: 33D0148202
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-25-2027
About MARK BENKEL
This page provides the complete NPI Profile along with additional information for Mark Benkel, a pediatrician established in Brooklyn, New York with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1770699787 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 124411 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1770699787
- Provider Name
- DR. MARK M BENKEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6410 VETERANS AVE SUITE 105 BROOKLYN, NY 11234
- Location Phone
- (718) 209-8600
- Location Fax
- (718) 209-8605
- Mailing Address
- 6410 VETERANS AVE SUITE 105 BROOKLYN, NY 11234
- Mailing Phone
- (718) 209-8600
- Mailing Fax
- (718) 209-8605
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-22-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Mark Benkel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mark Benkel opted out of Medicare effective on 05-09-2016 until 05-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 124411
- License State
- NY
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B1665 | MEDICARE UPIN (02) | ||
| 00248128 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-09-2016
Opt-Out End Date: 05-09-2026
Eligible to Order and Refer? Yes
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0148202
- Facility Type
- Physician Office
- Certificate Effective Date
- January 26, 2025
- Certificate Expiration Date
- January 25, 2027
- Laboratory Director
- DR. MARK M. BENKEL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Mark Benkel after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770699787, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770699787, enumerated as an "individual" on August 22, 2006.
The provider is located at 6410 VETERANS AVE SUITE 105 BROOKLYN, NY 11234 and the phone number is (718) 209-8600.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
