Individual provider Active NPI

Saul Benitez Jr., ACNS

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1386971794
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
747353 Issued in TX
Practice address
4101 James Casey St
Suite 330
Austin, TX 78745-3325
Phone
(512) 816-8042
Fax
(512) 804-2360
NPI assigned
Nov 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 747353 TX Primary

Addresses

Primary practice location

4101 James Casey St
Suite 330
Austin, TX 78745-3325

Mailing address

4101 James Casey St
Suite 330
Austin, TX 78745-3325
Phone (512) 816-8042

Other identifiers 4

IdentifierTypeStateIssuer
211153603MedicaidTX
831N38OtherTXBCBS
211153602MedicaidTX
P00976278OtherTXRAILROAD 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000822 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 6901933787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Feb 28, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4101 James Casey St
Ste 330
Austin, TX 78745
Phone (512) 373-4000

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1386971794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 JAMES CASEY ST",
            "address_2": "SUITE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453325",
            "telephone_number": "512-816-8042",
            "fax_number": "512-804-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JAMES CASEY ST",
            "address_2": "SUITE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453325",
            "telephone_number": "512-816-8042",
            "fax_number": "512-804-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "SAUL",
        "name_suffix": "Jr.",
        "credential": "ACNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "747353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211153603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "831N38",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211153602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00976278",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.