Active NPI
Sebastiaan Michael Bens, DO
- Physical Medicine & Rehabilitation Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- R3273
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003211857A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Hooman Sedighi, M.D., P.a. | Physical Medicine & Rehabilitation | Current | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- sbens223290@direct.sw.org
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1942230149
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Physical Medicine & Rehabilitation
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Physical Medicine & Rehabilitation
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.