Ricardo M Benavides, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04986 Issued in TX

Practice address

135 Bunton Creek Rd Ste 102
Kyle, TX 78640-5701

Phone

(512) 268-2091

Fax

(512) 268-2190

NPI assigned

Aug 4, 2006

Last updated

Mar 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Alsatian Care Enterprises, LLC

  dba Little Alsace Urgent Care Center

  • Emergency Medicine Physician
  • Castroville, TX
  • NPI 1265674352
  Medicare reassignment
• Ucp Physicians of Central Texas, PLLC

  dba Baylor Scott & White Urgent Care Plus

  • Urgent Care Clinic/Center
  • Georgetown, TX
  • NPI 1922289412
  Medicare reassignment
• Alsatian Care Enterprises Medical Professionals, PLLC

  dba Ville d'Alsace Concierge Care Center

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1417284449
  NPD
• Ucp Physicians of Central Texas, PLLC

  dba Baylor Scott & White Urgent Care Plus

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1154472967
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1093723876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 102",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-2091",
            "fax_number": "512-268-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 102",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-2091",
            "fax_number": "512-268-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Houston St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Castroville",
            "state": "TX",
            "postal_code": "780092739",
            "country_code": "US",
            "telephone_number": "830-538-3550",
            "fax_number": "830-538-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "RICARDO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia Mae Bedgood, M.D.
• Timothy Andrew Bednar, M.D.
• Ruth Bekker, M.S., BCBA
• Belle Miller, LCSW, PLLC
• Drew Benac, M.D.
• Breanna Bench, MS, RD, LD
• Benevida Health and Wellness Center
• Brian Thomas Benjamin, MD
• Kenya Nicole Benjamin
• Rhonda Katharine Bentura, PT,DPT,CLT

• Physician Assistant in Kyle, TX
• Providers in Kyle, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.

Verify at the official NPI Registry.