Individual provider Active NPI

Rose Santiago Benny, MD

  • Pediatrics Physician
  • Missouri City, TX
National Provider Identifier
1043349756
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M5050 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
183880702MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029000925 TX Practitioner - Pediatric MedicinePractitioner - General Practice 9335672450 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica HF Coit LLC CurrentSince May 13, 2024 Accepting new patients
Clinica HF McKinney LLC CurrentSince Jul 30, 2025 Accepting new patients
Texas Family Pediatric Group, P.a. Pediatrics CurrentSince Jul 21, 2024 Accepting new patients
Clinica HF Fort Worth LLC CurrentSince Aug 1, 2025 Accepting new patients
Premier Medical Center LLC Pediatrics CurrentSince Aug 25, 2024 Accepting new patients
Clinica HF Oak Cliff LLC PastSince Mar 17, 2024 Accepting new patients
Clinica HF Garland LLC PastSince Feb 23, 2025 Accepting new patients
Clinica HF Irving LLC PastSince Dec 6, 2022 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.

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

Verify at the official NPI Registry.