Bush Chacko Benjamin, MD, MBA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

T0056 Issued in TX

Practice address

2840 Legacy Dr Ste 400
Frisco, TX 75034-6055

Phone

(469) 200-6100

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bush Chacko Benchamin Former name

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

Specialty

Internal Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2018

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)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651
• Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bush.benjamin@txsihp.eclinicaldirectplus.com

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.

• Inspire Health PLLC

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1477107522

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD
• Mosaic Behavioral Health, LLC

  • Psychiatry Physician
  • Plano, TX
  • NPI 1720788755
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406

  Hospital

  Care Compare affiliation
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1689171472",
    "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": "469-200-6100"
        },
        {
            "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": "469-200-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Houston Methodist Hospital",
            "address_2": "6550 Fannin, SM 1001",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-441-5114",
            "fax_number": "713-790-3023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BUSH",
        "middle_name": "CHACKO",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUSH",
            "last_name": "BENCHAMIN",
            "middle_name": "CHACKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Andrews Bender, DDS,MS
• Benham Orthodontics
• Benham Orthodontics & Associates PA
• Benjamin Wagley, PLLC
• Bijas Benjamin
• Candace Nyarkuah Benjamin, D.C.
• Shruti Bijas Benjamin, M.D.
• Ashley Amber Bennett, PMHNP
• Deborah Ann Bennett
• Janis Bennett

• All providers in Frisco, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.
• 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.