Individual provider Active NPI

Matthew Alan Benevich, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1710922331
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1020 Issued in TX
Practice address
7000 North Mopac
Suite #420
Austin, TX 78731
Phone
(512) 482-0045
Fax
(512) 476-9892
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1020 TX Primary

Addresses

Primary practice location

7000 North Mopac
Suite #420
Austin, TX 78731

Mailing address

7000 North Mopac
Suite #420
Austin, TX 78731
Phone (512) 482-0045

Other identifiers 2

IdentifierTypeStateIssuer
176649501MedicaidTX
1766495-02MedicaidTX

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
I20051019000975 TX Practitioner - Internal Medicine 2769408707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospital Internists of Texas LLC 46 clinicians

Practice addresses (Care Compare)

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 447-2211

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1020TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Internists of Texas, LLC Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Hit Population Health Services PLLC Internal Medicine CurrentSince Aug 27, 2025 Accepting new patients
St. David'S Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

7000 N Mopac Expy
Ste 420
Austin, TX 78731
Phone (512) 827-2941

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1710922331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC",
            "address_2": "SUITE #420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC",
            "address_2": "SUITE #420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEVICH",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176649501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766495-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.