Individual provider Active NPI

Kendra Lee Williams Beneski, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Plano, TX
National Provider Identifier
1497149595
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
S5558 Issued in TX
Practice address
4032 McDermott Rd Ste 100
Plano, TX 75024-7739
Phone
(972) 769-9000
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X S5558 TX Primary

Addresses

Primary practice location

4032 McDermott Rd Ste 100
Plano, TX 75024-7739

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701

Other names 1

  • Kendra Lee Williams Former name

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
I20200717000039 TX Practitioner - Neurology 4789008244 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Neurology With Special Qualifications in Child Neurology CurrentSince Mar 1, 2023 Accepting new patients
Texas Scottish Rite Hospital for Crippled Children Neurology With Special Qualifications in Child Neurology CurrentSince Jun 23, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Mar 1, 2023 Accepting new patients
Texas Scottish Rite Hospital for Crippled Children Past Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1935 Medical District Dr
#411
Dallas, TX 75235

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone (469) 857-2222

5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

7609 Preston Rd
Plano, TX 75024
Phone (214) 456-2444

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Organizations & group practices 6

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1497149595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 MCDERMOTT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247739",
            "telephone_number": "972-769-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENESKI",
        "first_name": "KENDRA",
        "middle_name": "LEE WILLIAMS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "S5558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "WILLIAMS",
            "middle_name": "LEE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.