Individual provider Active NPI

Benedict Ifedi, M.D.

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1134531445
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5871 Issued in TX
Practice address
23910 Katy Fwy Ste 200
Katy, TX 77494-1477
Phone
(281) 500-6120
NPI assigned
May 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R5871 TX Primary

Addresses

Primary practice location

23910 Katy Fwy Ste 200
Katy, TX 77494-1477

Mailing address

23910 Katy Fwy Ste 200
Katy, TX 77494-1477
Phone (281) 500-6120

Other practice location 1

14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone (281) 325-4100

Other practice location 2

700 6th St S
St Petersburg, FL 33701-4815
Phone (727) 893-6333

Other practice location 3

23960 Katy Fwy Ste 400
Katy, TX 77494-0893
Phone (281) 644-8861

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
I20180730001167 TX Practitioner - Family PracticePractitioner - Sports Medicine 0042508756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

23960 Katy Fwy
Suite 400
Katy, TX 77494-0893
Phone (281) 644-8861

Hospital & facility affiliations

  • Accentcare Home Health of Houston - North, LLC Home health agency, Houston, TX, CCN 457741
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Sep 10, 2018 Accepting new patients

Locations

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

23910 Katy Fwy
Ste 200
Katy, TX 77494
Phone (281) 500-6120

23960 Katy Fwy
Ste 400
Katy, TX 77494
Phone (281) 644-8861

14023 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 325-4100

Interoperability endpoints

  • Direct secure messaging: bifedi65986@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1134531445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23910 KATY FWY STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941477",
            "telephone_number": "281-500-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23910 KATY FWY STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941477",
            "telephone_number": "281-500-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14023 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783550",
            "country_code": "US",
            "telephone_number": "281-325-4100",
            "fax_number": "281-325-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 6th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014815",
            "country_code": "US",
            "telephone_number": "727-893-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23960 Katy Fwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774940893",
            "country_code": "US",
            "telephone_number": "281-644-8861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IFEDI",
        "first_name": "BENEDICT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.