Justin Benabdallah, MD
NPI 1134419328 · Urology Physician · Washington, DC
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Benabdallah, MD is a Urology Physician provider in Washington, DC (NPI 1134419328).
Provider details
- NPI number
- 1134419328
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D84054 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,495 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 298 | $139 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 248 | $18 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 172 | $100 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 167 | $183 |
| Biopsy of Prostate Gland55700 | 80 | $138 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 265 | 104 |
| Finasteride | 112 | 44 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 48 | 18 |
| Mirabegronbrand: Myrbetriq | 36 | 17 |
| Tadalafil | 28 | — |
| Silodosin | 26 | 12 |
| Sildenafil Citrate | 23 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$198 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-09
- Last updated
- 2022-07-21
Frequently asked questions
- What is Justin Benabdallah's NPI number?
- Justin Benabdallah's National Provider Identifier (NPI) is 1134419328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Benabdallah's specialty?
- Justin Benabdallah is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Benabdallah located?
- Justin Benabdallah's practice location on file with NPPES is 5215 Loughboro Rd Nw, Washington, DC 20016-2618.
- What is Justin Benabdallah's phone number?
- The practice phone number listed in the NPPES registry for Justin Benabdallah is (410) 955-4494.
- Does Justin Benabdallah accept Medicare?
- Justin Benabdallah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Benabdallah's NPI active?
- Yes — Justin Benabdallah's NPI (1134419328) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.