MARI BENITEZ, DPM, SC
NPI 1942438759
Podiatrist - Foot & Ankle Surgery in Waukegan, IL
About Mari Benitez, Dpm, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARI BENITEZ, DPM, SC (NPI 1942438759) is a healthcare organization registered as a foot & ankle surgery in Waukegan, Illinois and active in the NPI registry since June 2009. The organization lists Mari Benitez, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mari Benitez, Dpm, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mari Benitez, DPM, Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mari Benitez, Dpm, Sc's NPI number?
The NPI number for Mari Benitez, Dpm, Sc is 1942438759. It was assigned to this organization in the NPPES registry on June 30, 2009.
Where is Mari Benitez, Dpm, Sc located?
Mari Benitez, Dpm, Sc is located at 2504 Washington St Suite 505, Waukegan, IL 60085. The listed phone number is (847) 336-9930.
What is Mari Benitez, Dpm, Sc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Mari Benitez, Dpm, Sc enrolled in Medicare?
Yes. Mari Benitez, Dpm, Sc is registered in the Medicare PECOS enrollment system.
When is Mari Benitez, Dpm, Sc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mari Benitez, Dpm, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Mari Benitez, Dpm, Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mari Benitez, Dpm, Sc was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mari Benitez, Dpm, Sc · NPI 1942438759
Foot & Ankle Surgery organization in Waukegan, Illinois. Organization record, active in the CMS NPPES registry since June 30, 2009.
## Identity
- **NPI:** 1942438759 (Entity type: Organization)
- **Enumerated:** June 30, 2009
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Mari Benitez, DOCTOR
## Practice location
- **Address:** 2504 WASHINGTON ST, SUITE 505, Waukegan, IL 60085-4983
- **Phone:** (847) 336-9930 · **Fax:** (847) 336-9937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Illinois, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2015
- **Other identifiers:** Medicare NSC 6318020001 (IL); Medicare UPIN U90775; Medicaid 016005165 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1942438759) · Data from the CMS NPPES public registry.