Active NPI
Benjamin Edery, M.D,
- Dermatology Physician
- Houston, TX
National Provider Identifier
1326141615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F0988
- Practice address
- 7737 Southwest Freeway
Ste 750
Houston, TX 77074-1878 - Phone
- (713) 981-1802
- NPI assigned
- Sep 5, 2006
- Last updated
- Oct 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F0988 | TX | Primary |
| Procedural Dermatology Physician | 207NS0135X | F0988 | TX |
Addresses
Primary practice location
7737 Southwest Freeway
Ste 750
Houston, TX 77074-1878
Mailing address
7737 Southwest Freeway
Ste 750
Houston, TX 77074-1878
Phone (713) 981-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033043302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Procedural Dermatology Physician
- Houston, TX
- NPI 1831292127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1326141615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 SOUTHWEST FREEWAY",
"address_2": "STE 750",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741878",
"telephone_number": "713-981-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 SOUTHWEST FREEWAY",
"address_2": "STE 750",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741878",
"telephone_number": "713-981-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDERY",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "F0988",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "TX",
"license": "F0988",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033043302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.