Active NPI
Marco A Benitez, M.D
- Neurology Physician
- Lufkin, TX
National Provider Identifier
1013022979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L8616
- Practice address
- 3006 S 1St St Ste B
Lufkin, TX 75901-7112 - Phone
- (936) 639-2222
- Fax
- (936) 639-8810
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME145526 | FL | |
| Neurology Physician | 2084N0400X | L8616 | TX | Primary |
Addresses
Primary practice location
3006 S 1St St Ste B
Lufkin, TX 75901-7112
Mailing address
3006 S 1St St Ste B
Lufkin, TX 75901-7112
Phone (936) 639-2222
Other practice location 1
2130 SW 24th Ter
Miami, FL 33145-3733
Phone (936) 676-3516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177021601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050921000955 | TX | Practitioner - Neurology | 3678470036 | Reassigns benefits to 1 organization |
| I20210702002563 | FL | Practitioner - Neurology | 3678470036 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3006 S 1St St
Suite B
Lufkin, TX 75901-7112
Phone (936) 639-2222
Hospital & facility affiliations
- Woodland Heights Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145526 | FL | MD | Neurology Physician |
| L8616 | TX | MD | Neurology Physician |
Interoperability endpoints
- mbenitez271142@mhsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1013022979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 S 1ST ST STE B",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759017112",
"telephone_number": "936-639-2222",
"fax_number": "936-639-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 S 1ST ST STE B",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759017112",
"telephone_number": "936-639-2222",
"fax_number": "936-639-8810"
}
],
"practiceLocations": [
{
"address_1": "2130 SW 24th Ter",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331453733",
"country_code": "US",
"telephone_number": "936-676-3516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENITEZ",
"first_name": "MARCO",
"middle_name": "A",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME145526",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L8616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177021601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.