Active NPI
Aurelio Benavides, M.D.
- Urology Physician
- Martinsburg, WV
National Provider Identifier
1790898757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 10389
- Practice address
- 1004 Sushruta Dr
Suite B
Martinsburg, WV 25401-8898 - Phone
- (304) 263-4949
- Fax
- (304) 263-8725
- NPI assigned
- Aug 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 10389 | WV | Primary |
Addresses
Primary practice location
1004 Sushruta Dr
Suite B
Martinsburg, WV 25401-8898
Mailing address
1004 Sushruta Dr
Suite B
Martinsburg, WV 25401-8898
Phone (304) 263-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130592000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10389 | WV | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790898757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SUSHRUTA DR",
"address_2": "SUITE B",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018898",
"telephone_number": "304-263-4949",
"fax_number": "304-263-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 SUSHRUTA DR",
"address_2": "SUITE B",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018898",
"telephone_number": "304-263-4949",
"fax_number": "304-263-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAVIDES",
"first_name": "AURELIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WV",
"license": "10389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130592000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.