Individual provider Active NPI

Shruti Bijas Benjamin, M.D.

  • Gynecology Physician
  • Frisco, TX
National Provider Identifier
1578821815
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
Q7839 Issued in TX
Practice address
2840 Legacy Dr Ste 400
Frisco, TX 75034-6055
Phone
(469) 476-5623
NPI assigned
Apr 24, 2012
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X Q7839 TX Primary

Addresses

Primary practice location

2840 Legacy Dr Ste 400
Frisco, TX 75034-6055

Mailing address

2840 Legacy Dr Ste 400
Frisco, TX 75034-6055
Phone (806) 470-7918

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
I20161017000720 TX Practitioner - Obstetrics/Gynecology 9638467194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Health PLLCGroup PAC ID 0042643751, 15 clinicians

Practice addresses (Care Compare)

2840 Legacy Dr
Suite 400
Frisco, TX 75034-6055
Phone (469) 200-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7839TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Health PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

2840 Legacy Dr
Ste 400
Frisco, TX 75034
Phone (469) 200-6100

5575 Warren Pkwy
Ste 115
Frisco, TX 75034
Phone (469) 200-6100

5026 Tennyson Pkwy
Plano, TX 75024
Phone (469) 200-6100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1578821815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LEGACY DR STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346055",
            "telephone_number": "806-470-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LEGACY DR STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346055",
            "telephone_number": "469-476-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "SHRUTI",
        "middle_name": "BIJAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "Q7839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.