Individual provider Active NPI

Adolfo Leon Benitez, M.D

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1528268166
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7523 Issued in TX
Practice address
3570 Rich Beem Blvd
Suite a
El Paso, TX 79938-3331
Phone
(915) 504-6900
Fax
(915) 856-1612
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N7523 TX Primary

Addresses

Primary practice location

3570 Rich Beem Blvd
Suite a
El Paso, TX 79938-3331

Mailing address

6557 Contessa RDG
El Paso, TX 79912-8176
Phone (915) 504-6900

Other names 1

  • Adolfo Leon Benitez 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
I20101210000506 TX Practitioner - Family Practice 8123142148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3570 Rich Beem
Suite a
El Paso, TX 79938-4333
Phone (915) 504-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7523TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adolfo Benitez, MD, PA Family Medicine CurrentSince Oct 1, 2010 Accepting new patients

Locations

3570 Rich Beem
Ste A
El Paso, TX 79938
Phone (915) 504-6900

3270 Joe Battle Blvd
Ste 100
El Paso, TX 79938
Phone (915) 504-6900

Interoperability endpoints

  • Direct secure messaging: adolfo.benitez.1@23020.direct.athenahealth.com

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1528268166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 CONTESSA RDG",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128176",
            "telephone_number": "915-504-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM BLVD",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799383331",
            "telephone_number": "915-504-6900",
            "fax_number": "915-856-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "ADOLFO",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADOLFO",
            "last_name": "BENITEZ",
            "middle_name": "LEON",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.