Individual provider Active NPI

Louis M Benevento, MD

  • Internal Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1063445666
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
723 Issued in NM
Practice address
3961 E Lohman Ave Ste 33
Las Cruces, NM 88011-8440
Phone
(575) 522-0423
Fax
(575) 556-0201
NPI assigned
Jul 8, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 723 NM Primary

Addresses

Primary practice location

3961 E Lohman Ave Ste 33
Las Cruces, NM 88011-8440

Mailing address

3961 E Lohman Ave Ste 33
Las Cruces, NM 88011-8440
Phone (575) 522-0423

Other identifiers 1

IdentifierTypeStateIssuer
02428MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040115001135 NM Practitioner - Internal Medicine 6901707611 Reassigns benefits to 1 organization
Practice locations: Las Cruces, NM

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 Seven Springs Way
Brentwood, TN 37027-5098

335 Morganza Rd
Suite 200
Canonsburg, PA 15317-5720

3961 E Lohman Ave
Las Cruces, NM 88011-8440
Phone (575) 556-0200

8375 Patrick Henry Blvd
Mechanicsville, VA 23116-3011

P O Box
Suite 1008
Fairacres, NM 88033

P O Box
Suite 1330
Norman, OK 73070-1330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Nov 1, 2018 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Nov 1, 2018 Accepting new patients

Locations

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2450 S Telshor Blvd
Bldg D
Las Cruces, NM 88011
Phone (575) 522-8641

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1063445666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE STE 33",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118440",
            "telephone_number": "575-522-0423",
            "fax_number": "575-556-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE STE 33",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118440",
            "telephone_number": "575-522-0423",
            "fax_number": "575-556-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEVENTO",
        "first_name": "LOUIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02428",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.