Edgardo Benavides, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M7037 Issued in TX

Practice address

12650 Nacogdoches Rd
San Antonio, TX 78217-2118

Phone

(210) 656-4363

Fax

(210) 599-1251

NPI assigned

Aug 28, 2007

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

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedia Hospice LLC Hospice, San Antonio, TX, CCN 741632
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edgardo.benavides.1@1438.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IAGJBD

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.

• BHS Physicians Network, Inc

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group NPD
• Harry Hernandez, DO

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1659474211
  Medicare reassignment
• BHS Physicians Network, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

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

• Amedia Hospice, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1629458682
  Care Compare affiliation
• VHS San Antonio Partners LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1194919639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BARLITE BLVD STE 313",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241363",
            "telephone_number": "210-928-2273",
            "fax_number": "210-928-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172118",
            "telephone_number": "210-656-4363",
            "fax_number": "210-599-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "EDGARDO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Cristin Benavides, M.S., CCC-SLP
• Brenda Benavides
• Cathy Waldon Benavides, NP
• Daniel Garza Benavides, LPC
• Dennise Benavides, OTR
• Heidi Lynn Benavides, APRN-FNP-
• Idalia Ivanna Benavides, M.D.
• Jacqueline Elizabeth Benavides
• Janey Benavides, RN
• Jesus A Benavides, PA-C

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, 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 Mar 22, 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.
• 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.