Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benyam Goitom, MD

Individual provider Surgery Physician · NPI 1972123313

Benyam Goitom, MD is an Anesthesiology in Bronx, New York. Qualified in 2020, 6 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
6
Licensed in
AZ, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (925) 457-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 N Campbell Ave, Tucson, AZ 85724-0001 — (520) 626-7747

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence R78017 (NY)
Surgery Physician Taxonomy 208600000X · Licence R78017 (AZ)

Record details

NPI number1972123313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2020
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1501 N Campbell Ave., Po Box 245058, Tucson, AZ 85724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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