Individual provider Active NPI

Analee Lizzette Benavides, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1467957639
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38013 Issued in OK
Practice address
7317 S Western Ave
Oklahoma City, OK 73139-2007
Phone
(405) 251-8884
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 38013 OK
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 38013 OK
Internal Medicine Physician 207R00000X 38013 OK Primary

Addresses

Primary practice location

7317 S Western Ave
Oklahoma City, OK 73139-2007

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 314-5257

Other practice location 1

6951 SE 15th St
Midwest City, OK 73110-2748
Phone (052) 330-4504

Other practice location 2

4605 NW 23rd St
Oklahoma City, OK 73127-2128
Phone (405) 251-8880

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
I20240530004330 TX Practitioner - Internal Medicine 4587061056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Practice addresses (Care Compare)

9150 Huebner Rd
San Antonio, TX 78240-1558
Phone (210) 294-9642

Hospital & facility affiliations

  • Prime Home Health, LLC Home health agency, San Antonio, TX, CCN 453194
  • Crest Home Health Home health agency, Boerne, TX, CCN 673124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue550
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38013OKMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Provider Health PA Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Premier Provider Health PA CurrentSince May 15, 2024 Accepting new patients
Rocky Vista Health Center LLC PastSince Sep 1, 2019 Accepting new patients
Premier Provider Health PA Internal Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4316 James Casey St
Ste B-100
Austin, TX 78745
Phone (512) 444-4325

9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828

251 Westpark Way
Ste 300
Euless, TX 76040
Phone (817) 848-5880

1300 W Rosedale St
Ste A
Fort Worth, TX 76104
Phone (817) 377-4011

8648 Medical City Way
Fort Worth, TX 76177
Phone (817) 984-7536

5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089

1325 Pennsylvania Ave
Ste 750
Ft Worth, TX 76104
Phone (817) 250-1970

5220 W University Dr
Ste 290
McKinney, TX 75071
Phone (469) 678-8322

1 Chisholm Trail Rd
Ste 5200
Round Rock, TX 78681
Phone (346) 239-9469

9150 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 334-0012

9150 Huebner Rd
San Antonio, TX 78240
Phone (210) 351-6500

17450 St Lukes Way
Ste 360
The Woodlands, TX 77384
Phone (281) 872-6306

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

5230 Old Jacksonville Hwy
Ste 105
Tyler, TX 75703
Phone (430) 201-4216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1467957639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-314-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392007",
            "telephone_number": "405-251-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6951 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731102748",
            "country_code": "US",
            "telephone_number": "052-330-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 NW 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731272128",
            "country_code": "US",
            "telephone_number": "405-251-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "ANALEE",
        "middle_name": "LIZZETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "38013",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "38013",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "38013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.