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NESREEN BENHAMED MD
NPI 1992760425
Internal Medicine - Endocrinology, Diabetes & Metabolism in Huntington, WV

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nesreen Benhamed Md NPPES

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

NESREEN BENHAMED MD (NPI 1992760425) is an individual endocrinology, diabetes & metabolism provider in Huntington, West Virginia, licensed in West Virginia (20667) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1992760425
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNESREEN BENHAMEDCredential: MD
Location Address1249 15TH ST, SUITE 3000Huntington, WV 25701
Mailing Address1249 15th St, Suite 3000Huntington, WV 25701 · (304) 691-1000 · Fax (304) 691-1693
Phone(304) 691-1000
Fax(304) 691-1693
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 18, 2006
Last NPPES UpdateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1992760425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WV · 20667
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20667 (WV)
1249 15TH ST, Huntington, WV 25701
Open in Google Maps ↗

Other Identifiers 3

Medicaid1841853000WV
Medicaid64070006KY
Medicaid2407514OH

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

Nesreen Benhamed 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 ID6709808975
PECOS Enrollment IDI20060103000089
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 3

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
203 services203 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.
178 services121 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers11 claims140 services$18.99 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers12 claims425 services$2.16 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers67 claims184 services$6.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims33 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers131 claims131 services$184.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

FAHAD K SHEIKH MD
Student in an Organized Health Care Education/Training Program
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
ATEF H EL GASSIER MBBS
Internal Medicine
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
HEATHER R AULICK CFNP
Nurse Practitioner (Family)
1249 15TH ST, SUITE 4000
HUNTINGTON, WV 25701
Cabell County (304) 691-8500
DR. JAMES ROBERT HAYES MD
Internal Medicine
1249 15TH ST
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
MRS. BARBARA DENISE AKPANUDO FNP-BC
Nurse Practitioner (Family)
1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
PETER OTTAVIANO DO
Internal Medicine (Pulmonary Disease)
1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
FREZGHI KEBREAB MD
Internal Medicine
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
AMRIT ANAND THAKUR MD
Internal Medicine (Cardiovascular Disease)
1249 15TH ST
HUNTINGTON, WV 25701
Cabell County (304) 691-1000

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 Nesreen Benhamed's NPI number?

The NPI number for Nesreen Benhamed is 1992760425. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Nesreen Benhamed located?

Nesreen Benhamed practices at 1249 15th St Suite 3000, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is Nesreen Benhamed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nesreen Benhamed enrolled in Medicare?

Yes. Nesreen Benhamed 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 Nesreen Benhamed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Nesreen Benhamed 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 Nesreen Benhamed affiliated with any hospitals?

According to CMS data, Nesreen Benhamed is affiliated with St Mary's Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nesreen Benhamed was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.