Individual provider Active NPI

Benjamin Jones, MD

  • Internal Medicine Physician
  • Prosper, TX
National Provider Identifier
1558725762
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S4506 Issued in TX
Practice address
1970 W University Dr Ste 100
Prosper, TX 75078-8134
Phone
(469) 329-7860
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S4506 TX Primary

Addresses

Primary practice location

1970 W University Dr Ste 100
Prosper, TX 75078-8134

Mailing address

1970 W University Dr Ste 100
Prosper, TX 75078-8134
Phone (469) 329-7860

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
I20200122001759 TX Practitioner - Internal Medicine 9638504657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa Medwedeff MD PAGroup PAC ID 6204984685, 2 clinicians

Practice addresses (Care Compare)

5425 W Spring Creek Pkwy
Suite 210
Plano, TX 75024-4241
Phone (972) 608-3333

Hospital & facility affiliations

  • Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4506TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Medwedeff M.D. PA CurrentSince Sep 4, 2023 Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 210
Plano, TX 75024
Phone (972) 608-3333

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.

Hospital & facility affiliations 4

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1558725762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 W UNIVERSITY DR STE 100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788134",
            "telephone_number": "469-329-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 W UNIVERSITY DR STE 100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788134",
            "telephone_number": "469-329-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.