Individual provider Active NPI

Benny G Raimer, MD

  • Pediatrics Physician
  • Texas City, TX
National Provider Identifier
1699833178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E2804 Issued in TX
Practice address
6400 Memorial Dr
Texas City, TX 77591-4018
Phone
(409) 772-0848
Fax
(409) 772-0885
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E2804 TX Primary

Addresses

Primary practice location

6400 Memorial Dr
Texas City, TX 77591-4018

Mailing address

301 University Blvd
6400 Memorial Drive
Galveston, TX 77555-5302
Phone (409) 772-0848

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
I20060328000595 TX Practitioner - Pediatric Medicine 1254349533 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Aug 26, 2010 Accepting new patients

Locations

301 University Blvd
#6400
Galveston, TX 77555

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
#1022
Galveston, TX 77555
Phone (409) 772-0848

6400 Memorial Dr
Texas City, TX 77591
Phone (409) 209-0070

Interoperability endpoints

  • Direct secure messaging: braimermd2496@direct.utmb.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699833178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "6400 MEMORIAL DRIVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-0848",
            "fax_number": "409-772-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914018",
            "telephone_number": "409-772-0848",
            "fax_number": "409-772-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMER",
        "first_name": "BENNY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E2804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.