Benjamin D Supnet, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L3152 Issued in TX

Practice address

7121 Spid
Suite 302
Corpus Christi, TX 78412-4941

Phone

(362) 851-5000

Fax

(361) 851-8053

NPI assigned

Jun 22, 2005

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Obstetrics/Gynecology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.supnet.1@11541.direct.athenahealth.com
• Direct secure messaging: bsupnet@ccwc.directbygreenway.com

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.

• Unified Women's Healthcare of Texas PLLC

  • Obstetrics & Gynecology Physician
  • Addison, TX
  • NPI 1952703373
  Medicare reassignment Care Compare group NPD
• Nueces County Women's Clinic, PA

  dba Corpus Christi Women's Clinic, PA

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1669503009
  NPD
• Randall Burt MD PA

  • Specialist
  • Plano, TX
  • NPI 1336279116
  NPD
• Steven R. Macdonald, M.D., P.a.

  • Specialist
  • Plano, TX
  • NPI 1528198397
  NPD
• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1508862723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 SPID",
            "address_2": "SUITE 302",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124941",
            "telephone_number": "361-851-5000",
            "fax_number": "361-851-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 SPID",
            "address_2": "SUITE 302",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124941",
            "telephone_number": "362-851-5000",
            "fax_number": "361-851-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPNET",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L3152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146593202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146593201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Mall F.D.C., P.a.
• Sunrise Pharmacy, Inc
• Sunrise Pharmacy, Inc
• Sunshine Agency, LLC
• Superior Wound Care LLC
• Salim R Surani, M.D.
• Shiri Surapaneni, M.D
• Surgeonone Inc
• Surgical Associates Corpus Christi, LLP (Surgical Associates, LLP)
• Surgical Consultants PA

• Obstetrics & Gynecology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.

Verify at the official NPI Registry.