Active NPI
Rose Santiago Benny, MD
- Pediatrics Physician
- Missouri City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M5050
- Practice address
- 20303 S University Blvd Ste 101
Missouri City, TX 77459-3662 - Phone
- (281) 208-9503
- Fax
- (281) 208-9504
- NPI assigned
- Mar 6, 2007
- Last updated
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M5050 | TX | Primary |
Addresses
Primary practice location
20303 S University Blvd Ste 101
Missouri City, TX 77459-3662
Mailing address
20303 S University Blvd Ste 101
Missouri City, TX 77459-3662
Phone (281) 208-9503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183880702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica HF Coit LLC | Current | Accepting new patients | |
| Clinica HF McKinney LLC | Current | Accepting new patients | |
| Texas Family Pediatric Group, P.a. | Pediatrics | Current | Accepting new patients |
| Clinica HF Fort Worth LLC | Current | Accepting new patients | |
| Premier Medical Center LLC | Pediatrics | Current | Accepting new patients |
| Clinica HF Oak Cliff LLC | Past | Accepting new patients | |
| Clinica HF Garland LLC | Past | Accepting new patients | |
| Clinica HF Irving LLC | Past | Accepting new patients |
Locations
14211 Coit Rd
Dallas, TX 75254
Phone (214) 238-0030
1303 N Beach St
Fort Worth, TX 76111
Phone (214) 888-9000
811 N McDonald St
McKinney, TX 75069
Phone (214) 888-9000
20303 S University Blvd
Ste 101
Missouri City, TX 77459
Phone (281) 208-9503
3300 Dallas Pkwy
Ste 110
Plano, TX 75093
6501 Preston Rd
Plano, TX 75024
Phone (813) 906-6832
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1114785292
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1407566177
-
- Family Medicine Physician
- McKinney, TX
- NPI 1245098326
-
- Pediatrics Physician
- Missouri City, TX
- NPI 1275719437
-
dba Tu Clinica Hispana Familiar
- Family Medicine Physician
- Garland, TX
- NPI 1831994433
-
- Family Medicine Physician
- Irving, TX
- NPI 1912617689
-
- Family Medicine Physician
- Dallas, TX
- NPI 1093573172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1043349756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20303 S UNIVERSITY BLVD STE 101",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593662",
"telephone_number": "281-208-9503",
"fax_number": "281-208-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 S UNIVERSITY BLVD STE 101",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593662",
"telephone_number": "281-208-9503",
"fax_number": "281-208-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNY",
"first_name": "ROSE",
"middle_name": "SANTIAGO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M5050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183880702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.