Fortunato Perez-Benavides, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

H8794 Issued in TX

Practice address

602 Indiana Ave
Nicu, University Medical Center
Lubbock, TX 79415-3364

Phone

(806) 775-8808

Fax

(806) 775-9181

NPI assigned

Apr 3, 2006

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359
  Medicare reassignment NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629030945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 VICKSBURG AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163105",
            "telephone_number": "806-797-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 INDIANA AVE",
            "address_2": "NICU, UNIVERSITY MEDICAL CENTER",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153364",
            "telephone_number": "806-775-8808",
            "fax_number": "806-775-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-BENAVIDES",
        "first_name": "FORTUNATO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "H8794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Beth Pepper, LMFT ASSOCIATE
• Marsha Renee Perales-Hull, M.D.
• Cesar Augusto Peralta
• Jessica Peralta, MSN, APRN, FNP- BC
• Stephanie Adele Perea-Neal, DO
• Abigail Chapa Perez, LPC
• Colbert Perez, M.D.
• Diana Perez
• Francisco Ruben Perez, ATC
• Jelisia Melina Perez, OT/ASSISTANT

• Neonatal-Perinatal Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Neonatal-Perinatal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.