Individual provider Active NPI

Benson Bethel Benjamin, D.O.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1083078836
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S7845 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
NPI assigned
Apr 7, 2016
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 89239 GA
Diagnostic Radiology Physician 2085R0202X S7845 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

Other practice location 1

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 567-7000

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
I20220707001447 TX Practitioner - Diagnostic Radiology 4880984467 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
May accept Medicare assignment
Group practices
North Star FP LPGroup PAC ID 6800168576, 49 clinicians
North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians

Practice addresses (Care Compare)

1413 Lakebreeze Dr
Garland, TX 75043-1864
Phone (214) 497-2015

3465 National Dr
Suite 110
Plano, TX 75025-0139
Phone (972) 649-6460

3535 S I 35 E
Denton, TX 76210-6850
Phone (972) 649-6460

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Round Rock Imaging LLC CurrentSince Sep 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Preferred Imaging of Mesquite LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Preferred Imaging of McKinney, LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Akumin Imaging Texas LLC CurrentSince Sep 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Blue Stone JV LLP CurrentSince Jul 1, 2022 Accepting new patients
Swdic Imaging Center Partnership, LLP CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Preferred Imaging of Austin LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Preferred Imaging of Grapevine/Colleyville, LLC CurrentSince Sep 1, 2024 Accepting new patients
Center for Molecular Imaging Limited Partnership CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Nov 3, 2025 Accepting new patients
Swdic Imaging Center Partnership, LLP CurrentSince Aug 12, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Oct 1, 2024 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Preferred Imaging of Frisco, LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince Oct 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Health Imaging Partners, LLC PastSince Nov 3, 2025 Accepting new patients

Locations

12840 Hillcrest Rd
Ste E100
Dallas, TX 75230
Phone (214) 341-8770

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

1346 Campbell Rd
Houston, TX 77055

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 6

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1083078836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BENSON",
        "middle_name": "BETHEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2024-06-21",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "89239",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S7845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.