NPIMap

Individual provider Active NPI

Joseph F Benenate, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1851407019
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
H2241 Issued in TX
Practice address
9627 Robin Meadow Dr
Dallas, TX 75243-7522
Phone
(214) 808-5775
Fax
(214) 342-1847
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X H2241 TX Primary

Addresses

Primary practice location

9627 Robin Meadow Dr
Dallas, TX 75243-7522

Mailing address

PO Box 820215
Dallas, TX 75382-0215
Phone (214) 808-5775

Other identifiers 1

IdentifierTypeStateIssuer
121236701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000945 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3072647114 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2241TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie-Stowell Hospital District Past Accepting new patients
City of Ennis Past Accepting new patients
619 N Britain Road Opco LLC Past Accepting new patients
Decatur Hospital Authority Past Accepting new patients
Loh Irving LLC Past Accepting new patients
Ashford Hall Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbenenate106684@direct.phhs.org

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
DFW Nursing & RehabFort Worth, TX, CCN 455881 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 13, 2022
Nov 13, 2022
Ashford HallIrving, TX, CCN 455748 Skilled nursing facility Adp of the SNF Jan 3, 2000
Avir at IrvingIrving, TX, CCN 675374 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025
Garland Nursing & RehabilitationGarland, TX, CCN 675790 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2025
Aug 1, 2025
Amedisys HospiceDallas, TX, CCN 671674 Hospice Contracted Managing Employee May 1, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1851407019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753820215",
            "telephone_number": "214-808-5775",
            "fax_number": "214-342-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 ROBIN MEADOW DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437522",
            "telephone_number": "214-808-5775",
            "fax_number": "214-342-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENENATE",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "H2241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121236701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.