Ilyes Benchaala, MD
NPI 1346578127 · Rheumatology Physician · Detroit, MI
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilyes Benchaala, MD is a Rheumatology Physician provider in Detroit, MI (NPI 1346578127).
Provider details
- NPI number
- 1346578127
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301088059 (MI)
Specialties & taxonomies
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
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
317 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 | 201 | $119 |
| 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 | 92 | $16 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 24 | $207 |
Typical Medicare-allowed amounts for these services range $16–$207 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 313 | 65 |
| Leflunomide | 262 | 66 |
| Adalimumabbrand: Humira(cf) Pen | 132 | 18 |
| Diclofenac Sodium | 130 | 45 |
| Azathioprine | 115 | 28 |
| Hydroxychloroquine Sulfate | 97 | 23 |
| Prednisone | 92 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,269 across 113 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
Additional practice locations (4)
- 18100 Oakwood Blvd Ste 300Dearborn, MI 48124-4085Phone: (313) 240-4900Fax: (313) 240-4900
- 400 Mack AveDetroit, MI 48201-2136Phone: (313) 448-9650Fax: (313) 448-9979
- 4717 Saint Antoine StDetroit, MI 48201-1423Phone: (313) 577-8900Fax: (313) 577-9675
- 1560 E Maple RdTroy, MI 48083-1135Phone: (313) 745-4525Fax: (248) 581-5299
Registry dates
- Enumerated
- 2009-12-07
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Frequently asked questions
- What is Ilyes Benchaala's NPI number?
- Ilyes Benchaala's National Provider Identifier (NPI) is 1346578127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilyes Benchaala's specialty?
- Ilyes Benchaala is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Ilyes Benchaala located?
- Ilyes Benchaala's practice location on file with NPPES is 4160 John R, Detroit, MI 48201-2020.
- What is Ilyes Benchaala's phone number?
- The practice phone number listed in the NPPES registry for Ilyes Benchaala is (313) 745-4525.
- Does Ilyes Benchaala accept Medicare?
- Ilyes Benchaala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ilyes Benchaala's NPI active?
- Yes — Ilyes Benchaala's NPI (1346578127) is active in the NPPES registry as of the last update on 2022-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.