Organization Active NPI

San Benito Medical Associates, PLLC

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1174500748
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAN BENITO MEDICAL ASSOCIATES, PLLC
Practice address
721 W Harrison Ave
Harlingen, TX 78550-6016
Phone
(956) 440-8470
Fax
(956) 399-6331
NPI assigned
Dec 27, 2005
Organization subpart
Yes
Parent organization
SAN BENITO MEDICAL ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Norma Schacherl, D.O.
Title
President
Phone
(956) 247-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

721 W Harrison Ave
Harlingen, TX 78550-6016

Mailing address

351 N Sam Houston Blvd
San Benito, TX 78586-4696
Phone (956) 247-7000

Other identifiers 1

IdentifierTypeStateIssuer
121454601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000345 TX Part B Supplier - Clinic/Group Practice 9234025578 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brownsville, TX; Harlingen, TX; San Benito, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2323214Quest Diagnostics - San Benito Medical Assoc Harl721 W Harrison Ave, Harlingen, TX 78550Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cecil Jorge Simmons Roq2 organizations share this tax ID, including this one
Part of
Cecil Jorge Simmons Roq

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1174500748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N SAM HOUSTON BLVD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864696",
            "telephone_number": "956-247-7000",
            "fax_number": "956-361-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W HARRISON AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506016",
            "telephone_number": "956-440-8470",
            "fax_number": "956-399-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BENITO MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN BENITO MEDICAL ASSOCIATES, PLLC",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SCHACHERL",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-247-7000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121454601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.