BENYAM GOITOM MD
NPI 1972123313
Anesthesiology in Bronx, NY

Q: What is Benyam Goitom's NPI number?

The NPI number for Benyam Goitom is 1972123313. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Benyam Goitom's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Benyam Goitom was last updated on July 19, 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.

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment

111 E 210TH ST, BRONX, NY 10467(925) 457-6777 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2021, Apr 24, 2020 (2 updates tracked since 2020).

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About Benyam Goitom Md NPPES

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

BENYAM GOITOM MD (NPI 1972123313) is an individual anesthesiology provider in Bronx, New York, licensed in New York (R78017) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1972123313

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameBENYAM GOITOMCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address1501 N Campbell Ave., Po Box 245058Tucson, AZ 85724

Phone(925) 457-6777

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 24, 2020

Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration

NPPES CertifiedJuly 19, 2021

✔ NPI 1972123313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in NY · R78017

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedSurgeryTaxonomy 208600000X · License R78017 (AZ)

111 E 210TH ST, Bronx, NY 10467

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Secondary Practice Location 1

Location 11501 N Campbell AveTucson, AZ 85724-0001 · Phone (520) 626-7747

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Benyam Goitom 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 ID8426581802

PECOS Enrollment IDI20241023002865

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.

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

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. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)