Active NPI
Juan Benitez, MD
- Gastroenterology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 37313
- Practice address
- 9330 Park West Blvd Ste 506
Knoxville, TN 37923-4313 - Phone
- (865) 539-5372
- Fax
- (865) 539-5369
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 37313 | TN | Primary |
Addresses
Primary practice location
9330 Park West Blvd Ste 506
Knoxville, TN 37923-4313
Mailing address
9330 Park West Blvd Ste 506
Knoxville, TN 37923-4313
Phone (865) 539-5372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q022507 | Medicaid | TN | |
| 3883441 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Benitez.juan@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9330 Park W Blvd
Suite 402
Knoxville, TN 37923-4312
Phone (865) 890-3003
Hospital & facility affiliations
- Parkwest Medical Center
- Fort Loudoun Medical Center
- Fort Sanders Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.79 of 100
- Quality
- 26.67
- Improvement activities
- 0
- Cost
- 90.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 396 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 264 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37313 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Gastrointestinal Specialists PLLC | Specialist | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Current | Accepting new patients | |
| Dunes Optical, LLC | Past | Accepting new patients | |
| Medical Group Surgery Center LLC | Past | Accepting new patients |
Locations
9330 Park West Blvd
Ste 402
Knoxville, TN 37923
Phone (865) 690-3003
9330 Park West Blvd
Ste 506
Knoxville, TN 37923
Phone (865) 539-2020
Dept 888179
Knoxville, TN 37995
576 Fort Loudon Medical Center Dr
Ste 105
Lenoir City, TN 37772
Phone (865) 539-5372
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Interoperability endpoints
- benitez.juan@covenanthealth.cernerdirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Specialist
- Knoxville, TN
- NPI 1306823976
-
- Optometrist
- Michigan City, IN
- NPI 1306943436
-
- Ambulatory Surgical Clinic/Center
- Michigan City, IN
- NPI 1760518617
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1699752105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 PARK WEST BLVD STE 506",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234313",
"telephone_number": "865-539-5372",
"fax_number": "865-539-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 PARK WEST BLVD STE 506",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234313",
"telephone_number": "865-539-5372",
"fax_number": "865-539-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "JUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "37313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022507",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3883441",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Benitez.juan@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "9330 Park West Blvd Ste 506",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379234313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.