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BENYAM GOITOM MD
NPI 1972123313
Anesthesiology in Bronx, NY

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

North Shore - Lij Anesthesiology, PC
22 mi
Anesthesiology
480 BEDFORD RD BLDG B
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 1,406 clinicians in this Medicare group
NPI 1417401266 (914) 666-8866

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.

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.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 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.

Where is Benyam Goitom located?

Benyam Goitom practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (925) 457-6777.

What is Benyam Goitom's specialty?

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

Is Benyam Goitom enrolled in Medicare?

Yes. Benyam Goitom 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 Benyam Goitom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benyam Goitom reassigns Medicare benefits to North Shore - Lij Anesthesiology, PC (Chappaqua, NY). 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 Benyam Goitom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Benyam Goitom affiliated with any hospitals?

According to CMS data, Benyam Goitom is affiliated with Staten Island University Hospital.

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.