Individual provider Active NPI

Richard A. Benedikt, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1205803145
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J3048 Issued in TX
Practice address
8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Phone
(210) 616-7700
Fax
(210) 616-7709
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J3048 TX Primary

Addresses

Primary practice location

8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900

Mailing address

8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Phone (210) 616-7700

Other identifiers 6

IdentifierTypeStateIssuer
J3048OtherTXTEXAS MEDICAL LICENSE
1391088-12MedicaidTX
1391088-13MedicaidTX
300125924OtherTXRAILROAD MEDICARE
1391088-15MedicaidTX
300051748OtherTXRAILROAD MEDICARE

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
I20110405001118 TX Practitioner - Diagnostic Radiology 7618980723 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3048TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince May 1, 1999 Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Apr 15, 1993 Accepting new patients
Radiology & Imaging of South Texas,LLP Diagnostic Radiology Past Accepting new patients

Locations (25 of 35)

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

5715 Rogers Rd
Ste 101
San Antonio, TX 78251
Phone (210) 617-9650

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

7930 Floyd Curl Dr
Fl 2
San Antonio, TX 78229
Phone (210) 617-9850

5510 Presidio Pkwy
Ste 2201B
San Antonio, TX 78249

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone (210) 616-7796

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

7910 Barlite Blvd
San Antonio, TX 78224
Phone (210) 617-9940

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

9150 Huebner Rd
Ste 195
San Antonio, TX 78240
Phone (210) 617-9100

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

18707 Hardy Oak Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-6520

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

414 Navarro St
Ste 1502
San Antonio, TX 78205
Phone (210) 271-1883

Organizations & group practices 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1205803145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-616-7700",
            "fax_number": "210-616-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-616-7700",
            "fax_number": "210-616-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDIKT",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "J3048",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391088-12",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391088-13",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300125924",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391088-15",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300051748",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.