Edcheril Benny, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

N1260 Issued in TX

Practice address

2100 West Loop S
Suite100
Houston, TX 77027-3515

Phone

(713) 590-2700

Fax

(713) 590-2702

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

PsychiatryAlso: Neurology

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Spine, Sports and Rehabilitation Excellence PAGroup PAC ID 5799832150, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edcheril.benny.1@16360.direct.athenahealth.com

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.

• Center for Spine, Sports and Rehabilitation Excellence PA

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
  • NPI 1720228299
  Medicare reassignment Care Compare group
• West Houston Internal Medicine Associates PA

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1730343047
  Medicare reassignment NPD
• Wellspring CV, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Houston, TX
  • NPI 1801409529
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1376656728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273515",
            "telephone_number": "713-590-2700",
            "fax_number": "713-590-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEST LOOP S",
            "address_2": "SUITE100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273515",
            "telephone_number": "713-590-2700",
            "fax_number": "713-590-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNY",
        "first_name": "EDCHERIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000030955",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0191134",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3106691",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832217",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shontay Sherrell Bennett
• Tanya Bennett
• Teresa Bennett
• Tevonte Shemar Bennett
• Victoria Bennett
• Kevin Benny
• Bennybright Home Health Services, Inc
• Lesly Benodin, MD
• Andrew Scott Benoit, DDS
• Candis Benoit

• Neurology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.