Active NPI
Maria Teresa Datan Benitez, M.D.
- Obstetrics & Gynecology Physician
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C55826
- Practice address
- 1100 N Palm Canyon Dr
Suite 212
Palm Springs, CA 92262-4414 - Phone
- (760) 327-7900
- Fax
- (760) 327-7905
- NPI assigned
- Jun 2, 2008
- Last updated
- May 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C55826 | CA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 4301092193 | MI |
Addresses
Primary practice location
1100 N Palm Canyon Dr
Suite 212
Palm Springs, CA 92262-4414
Mailing address
1100 N Palm Canyon Dr
Suite 212
Palm Springs, CA 92262-4414
Phone (760) 327-7900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101242 | Medicaid | CA | |
| ZZZ27958Z | Other | CA | MEDICARE GROUP ID |
| GR0101241 | Medicaid | CA | |
| GR0101240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Obstetrics/Gynecology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1180 N Indian Canyon Dr
Suite W300
Palm Springs, CA 92262-4809
Phone (760) 327-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55826 | CA | MD | Obstetrics & Gynecology Physician |
| 4301092193 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Women's Healthcare, a Medical Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Advanced Women's Healthcare, a Medical Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Great Lakes Bay Health Centers | Obstetrics & Gynecology | Past | Accepting new patients |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Advanced Women's Healthcare, a Medical Corporation | Obstetrics & Gynecology | Past | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients | |
| McLaren Bay Region | Past | Accepting new patients |
Locations
79200 Corporate Center Dr
Ste 201
La Quinta, CA 92253
Phone (760) 222-5502
41990 Cook St
Bldg H
Palm Desert, CA 92211
1100 N Palm Canyon Dr
Ste 212
Palm Springs, CA 92262
1180 N Indian Canyon Dr
Ste W300
Palm Springs, CA 92262
Phone (760) 416-3770
7355 Church St
Ste F
Yucca Valley, CA 92284
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- maria.teresa.benitez.1@23413.direct.athenahealth.com
- https://api.platform.athenahealth.com/23413/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Palm Desert, CA
- NPI 1609064435
-
- Obstetrics & Gynecology Physician
- Yucca Valley, CA
- NPI 1144339953
-
- Obstetrics & Gynecology Physician
- Palm Springs, CA
- NPI 1134237993
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
-
dba Great Lakes Bay Health Centers Integrated Care Midland
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
-
- Rehabilitation Hospital Unit
- Bay City, MI
- NPI 1801860218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1700044187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N PALM CANYON DR",
"address_2": "SUITE 212",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624414",
"telephone_number": "760-327-7900",
"fax_number": "760-327-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N PALM CANYON DR",
"address_2": "SUITE 212",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624414",
"telephone_number": "760-327-7900",
"fax_number": "760-327-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "MARIA TERESA",
"middle_name": "DATAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C55826",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301092193",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101242",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "ZZZ27958Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101241",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.