Active NPI
Benjamin Huntley, M.D.
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P3896
- Practice address
- 6410 Fannin St Ste 350
Houston, TX 77030-3004 - Phone
- (832) 325-7131
- NPI assigned
- Jun 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | P3896 | TX | |
| Family Medicine Physician | 207Q00000X | DR.0056087 | CO | |
| Family Medicine Physician | 207Q00000X | 503OL33918961 | TX | |
| Family Medicine Physician | 207Q00000X | P3896 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 350
Houston, TX 77030-3004
Mailing address
6410 Fannin St Ste 350
Houston, TX 77030-3004
Phone (832) 325-7131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P3896 | TX | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| 503OL33918961 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Multi-Specialty | Current | Accepting new patients |
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Portercare Adventist Health System | Past | Accepting new patients | |
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| Yukon-Kuskokwim Health Corporation | Past | Accepting new patients |
Locations
2000 W South Boulder Rd
Lafayette, CO 80026
Phone 30366530361250
1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061
1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962
1735 S Public Rd
Ste 203
Lafayette, CO 80026
8510 Bryant St
Ste 200
Westminster, CO 80031
Phone (303) 449-6050
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/663c4c6d-1396-44a4-b589-c11a968d4876/
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
-
- Federally Qualified Health Center (FQHC)
- Thornton, CO
- NPI 1093702177
-
- General Acute Care Hospital
- Louisville, CO
- NPI 1891709192
-
- Rural Acute Care Hospital
- Bethel, AK
- NPI 1063567691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1740574144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303004",
"telephone_number": "832-325-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303004",
"telephone_number": "832-325-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTLEY",
"first_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "P3896",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0056087",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "503OL33918961",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P3896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.