Active NPI
Benjamin Lee Portnoy, MD
- Infectious Disease Physician
- Houston, TX
National Provider Identifier
1073583423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- E0359
- Practice address
- 1200 Binz Street
Suite 1290
Houston, TX 77004-6937 - Phone
- (713) 524-8700
- Fax
- (713) 524-2910
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | E0359 | TX | Primary |
Addresses
Primary practice location
1200 Binz Street
Suite 1290
Houston, TX 77004-6937
Mailing address
8390 Champions Gate Blvd
Suite 215
Champions Gate, FL 33896-8310
Phone (407) 390-1677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097569001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0359 | TX | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1073583423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD",
"address_2": "SUITE 215",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BINZ STREET",
"address_2": "SUITE 1290",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046937",
"telephone_number": "713-524-8700",
"fax_number": "713-524-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNOY",
"first_name": "BENJAMIN",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "E0359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097569001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.