Individual provider Active NPI

Sebastiaan Michael Bens, DO

  • Physical Medicine & Rehabilitation Physician
  • Cumming, GA
National Provider Identifier
1376962688
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R3273 Issued in TX
Practice address
2450 Atlanta Hwy Ste 903
Cumming, GA 30040-1252
Phone
(404) 659-5909
Fax
(770) 399-9449
NPI assigned
Apr 15, 2014
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R3273 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X 79891 GA

Addresses

Primary practice location

2450 Atlanta Hwy Ste 903
Cumming, GA 30040-1252

Mailing address

7623 Kaywood Dr
Dallas, TX 75209-4007
Phone (512) 484-1167

Other practice location 1

6431 Fannin St
Suite MSB 1.134
Houston, TX 77030-1501
Phone (713) 500-6500

Other identifiers 1

IdentifierTypeStateIssuer
003211857AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbens223290@direct.sw.org

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
I20210805001351 TX Practitioner - Physical Medicine and Rehabilitation 6709105950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Texas Tech University Health Science Center School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hooman Sedighi MD PAGroup PAC ID 0749209526, 7 clinicians

Practice addresses (Care Compare)

1420 W Mockingbird LN
420 Physical Medicine Consultants
Dallas, TX 75247-4932
Phone (214) 267-0101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Physical Medicine & Rehabilitation CurrentSince Aug 16, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 16, 2021 Accepting new patients
Healthtexas Provider Network Physical Medicine & Rehabilitation Current Accepting new patients
Hooman Sedighi, M.D., P.a. Physical Medicine & Rehabilitation CurrentSince Apr 1, 2025 Accepting new patients

Locations

1420 W Mockingbird Ln
Ste 420
Dallas, TX 75247
Phone (214) 267-0101

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2460 N Interstate Highway 35 E
Ste 265
Waxahachie, TX 75165
Phone (225) 610-6361

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: sbens223290@direct.sw.org
  • Direct secure messaging: sebastiaanbens@rpgpc.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1376962688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7623 KAYWOOD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094007",
            "telephone_number": "512-484-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 903",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "404-659-5909",
            "fax_number": "770-399-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "Suite MSB 1.134",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6500",
            "fax_number": "713-500-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENS",
        "first_name": "SEBASTIAAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R3273",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "79891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003211857A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbens223290@direct.sw.org",
            "affiliation": "N",
            "address_1": "2460 N Ih 35 E Ste 265",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.