Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Michael Benninger, AUD, CCC-A

Individual provider Audiologist · NPI 1053787549

Ryan Michael Benninger, AUD, CCC-A is a Qualified Audiologist in Saint Clair Shores, Michigan. Graduated from Vanderbilt University School of Medicine in 2014, 12 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Vanderbilt University School of Medicine
Licensed in
MI
In the registry since
2015
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X (MI)

Record details

NPI number1053787549
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD , CCC-A
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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