Raul Benavides Jr., M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

N9676 Issued in TX

Practice address

2807 Cessna CT
Dallas, TX 75228-5424

Phone

(214) 660-4401

NPI assigned

Jun 26, 2007

Last updated

May 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pathologists Bio-Medical Laboratories PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1265477707
  Medicare reassignment
• Pathologists Bio-Medical Laboratories PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Waxahachie, TX
  • NPI 1982900460
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1780880849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 CESSNA CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285424",
            "telephone_number": "214-660-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 CESSNA CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285424",
            "telephone_number": "214-660-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TX",
            "license": "N9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Elise Benavides
• Daylia Benavides, PA
• Melissa A Benavides, P.T.
• Michael A Benavides, DO
• Natalie Benavides
• Richard Alex Benavides, M.D.
• Ricardo Benavidez, LPC
• Bryce I. Benbow, DO
• Benchmark Diagnostics LLC
• Benchmark Iom, LLC

• Clinical Pathology/Laboratory Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Pathology/Laboratory Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.

Verify at the official NPI Registry.