What is Ethan Benning's NPI number?

Ethan Benning's National Provider Identifier (NPI) is 1104168582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Benning's specialty?

Ethan Benning is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Ethan Benning located?

Ethan Benning's practice location on file with NPPES is 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144.

What is Ethan Benning's phone number?

The practice phone number listed in the NPPES registry for Ethan Benning is (505) 994-7000.

Does Ethan Benning accept Medicare?

Ethan Benning is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Ethan Benning's NPI active?

Yes — Ethan Benning's NPI (1104168582) is active in the NPPES registry as of the last update on 2025-01-03.

IndividualActiveAccepts Medicare

Ethan Benning, MD

NPI 1104168582 · Surgery Physician · Rio Rancho, NM

Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Ethan Benning, MD is a Surgery Physician provider in Rio Rancho, NM (NPI 1104168582).

Provider details

NPI number: 1104168582
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: 27993 (WV)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense MD2019-0664 (NM)
Allopathic & Osteopathic Physicians
Surgery Physician208600000XLicense 27993 (WV)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
4 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3001 Broadmoor Blvd Ne

Rio Rancho, NM 87144

Phone: (505) 994-7000

Street-level locationGet directions

More NM providers

Mailing address

800 Bradbury Dr Se Ste 116

Albuquerque, NM 87106-4310

Additional practice locations (3)

2040 W Charleston Blvd Ste 302
Las Vegas, NV 89102-2230
Phone: (702) 671-2273
1100 Fort Pierpont Dr Ste 101
Morgantown, WV 26508-1329
Phone: (304) 241-1100
1100 Fort Pierpont Dr Ste 101
Morgantown, WV 26508-1329
Phone: (304) 241-1100

Enumerated: 2013-03-22
Last updated: 2025-01-03
Certified: 2025-01-03

Frequently asked questions

What is Ethan Benning's NPI number?: Ethan Benning's National Provider Identifier (NPI) is 1104168582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Ethan Benning's specialty?: Ethan Benning is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Ethan Benning located?: Ethan Benning's practice location on file with NPPES is 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144.
What is Ethan Benning's phone number?: The practice phone number listed in the NPPES registry for Ethan Benning is (505) 994-7000.
Does Ethan Benning accept Medicare?: Ethan Benning is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Ethan Benning's NPI active?: Yes — Ethan Benning's NPI (1104168582) is active in the NPPES registry as of the last update on 2025-01-03.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.