KELLY A. BENEDICT M.D. – NPI #1144429747
Pediatrics
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
KELLY BENEDICT is a physician located in PHOENIX, AZ. NPPES has assigned the NPI number 1144429747 to KELLY BENEDICT on July 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0210X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Nephrology
The NPI profile was previously updated about 9 years ago on Mar 01, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY BENEDICT below.
NPI Profile for
KELLY A. BENEDICT
(about 19 years ago)
STE 180
PHOENIX, AZ 85018-2322 Phone: (602) 997-0484 Fax: (602) 224-3315
STE 110
PHOENIX, AZ 85016-7969 Phone: (602) 903-1532 Fax: (602) 956-0567
Identifiers for KELLY BENEDICT
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AZ | 921982 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2080P0210X - Pediatrics / Pediatric Nephrology (Primary) |
AZ | 49162 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
KELLY BENEDICT is affiliated with the following medical group(s):
- HOSPITAL
- PHOENIX CHILDREN'S HOSPITAL1919 EAST THOMAS ROAD
PHOENIX, AZ 85016
- PHOENIX CHILDREN'S HOSPITAL1919 EAST THOMAS ROAD
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