Individual provider Active NPI

Benjamin Interiano, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1144222159
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H6858 Issued in TX
Practice address
7737 Southwest Fwy Ste 400
Houston, TX 77074-1804
Phone
(281) 674-1700
Fax
(281) 674-1710
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6858 TX
Pulmonary Disease Physician 207RP1001X H6858 TX
Internal Medicine Physician 207R00000X H6858 TX Primary

Addresses

Primary practice location

7737 Southwest Fwy Ste 400
Houston, TX 77074-1804

Mailing address

7737 Southwest Fwy Ste 400
Houston, TX 77074-1804
Phone (281) 674-1700

Other identifiers 1

IdentifierTypeStateIssuer
128116406MedicaidTX

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
I20111101000135 TX Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1052584711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Perelman School of Med at the University of Pennsylvania, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6858TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Nov 10, 2020 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Nov 10, 2020 Accepting new patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

7737 Southwest Fwy
Ste 640
Houston, TX 77074
Phone (713) 988-0653

7737 Southwest Fwy
Ste 400
Houston, TX 77074
Phone (281) 674-1700

9380 W Sam Houston Pkwy S
Ste 225
Houston, TX 77099
Phone (281) 674-1700

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: benjamin.interiano@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1144222159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741804",
            "telephone_number": "281-674-1700",
            "fax_number": "281-674-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741804",
            "telephone_number": "281-674-1700",
            "fax_number": "281-674-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTERIANO",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "6858",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H6858",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128116406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.