Matt Aaron Benenati, DO
Matt Aaron Benenati is a Surgery Physician provider (Surgery) practicing in Bolivia, NC, registered in the NPPES registry with NPI 1104058817 since 2009. The credential DO stands for Doctor of Osteopathic Medicine. Practices at Novant Health Medical Group, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104058817 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Matt Aaron Benenati |
| Credential | DO |
| Sex | Male |
| Practice address | 257 HOSPITAL DRIVE SUITE 200, Bolivia, NC, 28422 |
| Phone | 9107214000 |
| Fax | 9107214001 |
| Enumeration date | 2009-08-13 |
| Last updated in NPPES | 2023-05-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 2015-01345 | NC |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104058817 | Medicaid | NC | — |
Copy-ready billing details
Provider: Matt Benenati, DO NPI: 1104058817 Taxonomy: 208600000X (Surgery Physician) Address: 257 HOSPITAL DRIVE SUITE 200, Bolivia, NC, 28422
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710963475 | Adolfo Desandre | Individual | Surgery Physician | Bolivia, NC |
| 1649256850 | Mark Tillotson | Individual | Surgery Physician | Bolivia, NC |
| 1215047543 | Richard Scallion | Individual | Surgery Physician | Bolivia, NC |
| 1336229384 | Novant Health Medical Group, LLC | Organization | Surgery Physician | Bolivia, NC |
| 1245498013 | Joseph Smith | Individual | Surgery Physician | Bolivia, NC |
| 1821648882 | Daniel Burk | Individual | Physician Assistant | Bolivia, NC |
Verify this record
Cross-check NPI 1104058817 against the authoritative CMS record: view Matt Aaron Benenati on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-05-11.