Individual provider Active NPI

Benjamin P Fontenot, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1619269644
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP08140 Issued in LA
Practice address
1313 Hermann Dr Ste 270
Houston, TX 77004-7005
Phone
(713) 527-5270
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP08140 LA Primary

Addresses

Primary practice location

1313 Hermann Dr Ste 270
Houston, TX 77004-7005

Mailing address

149 Bernard St
Eunice, LA 70535-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000307 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799955530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

2100 Lake St
Lake Charles, LA 70601-7104
Phone (337) 436-6941

Hospital & facility affiliations

  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
138754TXMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc. CurrentSince Apr 1, 2021 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Apr 1, 2021 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2025 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Park Plaza Anesthesiolgists LLP Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

2100 Lake St
Lake Charles, LA 70601
Phone (337) 433-1329

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

Organizations & group practices 8

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 2

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1619269644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BERNARD ST",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705354201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 HERMANN DR STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047005",
            "telephone_number": "713-527-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP08140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.