Individual provider Active NPI

Richard Alex Benavides, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1497893754
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
F9189 Issued in TX
Practice address
7920 Belt Line Rd
Suite 310
Dallas, TX 75254-8145
Phone
(972) 331-8100
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F9189 TX
Surgery Physician 208600000X F9189 TX Primary

Addresses

Primary practice location

7920 Belt Line Rd
Suite 310
Dallas, TX 75254-8145

Mailing address

5934 Walnut Hill LN
Dallas, TX 75230-5014
Phone (469) 370-7280

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
I20040329000664 TX Practitioner - General Surgery 8123910684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
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)

1300 W Rosedale St
Suite a
Fort Worth, TX 76104-2824
Phone (817) 618-3332

Hospital & facility affiliations

  • Bellcoa Home Health Service Inc Home health agency, Austin, TX, CCN 457871
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Frio Regional Hospital Hospital, Pearsall, TX, CCN 451391
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9189TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Provider Health PA CurrentSince Dec 1, 2024 Accepting new patients
Plano Associates of Surgical Anesthesia Current Accepting new patients
Texas Interventional and Vascular Specialists PA CurrentSince Dec 13, 2024 Accepting new patients
USA Vascular Center of Dallas PLLC CurrentSince Nov 13, 2024 Accepting new patients
Home Dialysis of Illinois LLC PastSince Nov 30, 2023 Accepting new patients
Mobile Wound Care LLC PastSince Jan 1, 2026 Accepting new patients
Premier Provider Health PA Past Accepting new patients
Jacksonville Surgical Associates, LLP Surgery Past Accepting new patients
Premier Provider Health PA Past Accepting new patients

Locations

304 Wainwright Dr
Ste 120
Northbrook, IL 60062

1017 W Randol Mill Rd
Ste A
Arlington, TX 76012
Phone (682) 712-1256

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

12180 N Mopac Expy
Ste 1A1
Austin, TX 78758
Phone (737) 301-4150

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

5320 North Tarrant Pkwy
Ste 200A
Fort Worth, TX 76244
Phone (682) 428-4931

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

2615 Southwest Fwy
Ste 220
Houston, TX 77098
Phone (713) 527-8721

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

5501 Independence Pkwy
Ste 107
Plano, TX 75023
Phone (972) 612-9948

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

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

2020 Babcock Rd
Ste 12A
San Antonio, TX 78229
Phone (726) 200-7458

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

22625 Tomball Pkwy
Ste 450A
Tomball, TX 77375
Phone (281) 661-5076

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

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

Organizations & group practices 10

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 5

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1497893754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305014",
            "telephone_number": "469-370-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548145",
            "telephone_number": "972-331-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "RICHARD",
        "middle_name": "ALEX",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F9189",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F9189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.