Benny R Mrnustik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8304 Issued in TX

Practice address

5501 Gordon Smith Dr Ste 500
Rowlett, TX 75089-3209

Phone

(214) 703-8100

Fax

(214) 703-3269

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897

  Family Medicine

  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Family Healthcare Associates

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1831159466
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1093773558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 GORDON SMITH DR STE 500",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893209",
            "telephone_number": "214-703-8100",
            "fax_number": "214-703-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 GORDON SMITH DR STE 500",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893209",
            "telephone_number": "214-703-8100",
            "fax_number": "214-703-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRNUSTIK",
        "first_name": "BENNY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127974706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janette Moreno
• Camille Lorraine Morgan
• Rachel Ann Morgan, OTD, OTR
• Moto Counseling and Consulting
• Gretchen Katherine Moyer, RN
• Mt Pallet Services LLC
• Heather Mullineaux
• Denise Munion
• Sofia Michele Munoz, PA-C
• Saidat Kenny Musari, DPT

• Family Medicine Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.