Individual provider Active NPI

Christopher Lee Vanbenschoten, M.D.

  • Adult Medicine Physician
  • Westlake, TX
National Provider Identifier
1922446848
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
130449 Issued in FL
Practice address
1301 Solana Blvd BLDG 2
# 2200
Westlake, TX 76262-1659
Phone
(817) 767-6111
Fax
(817) 582-0359
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 130449 FL Primary

Addresses

Primary practice location

1301 Solana Blvd BLDG 2
# 2200
Westlake, TX 76262-1659

Mailing address

231 Riverside Dr
Unit 1203
Holly Hill, FL 32117
Phone (772) 321-9721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170130000266 FL Practitioner - Family Practice 9931481876 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130449FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Jan 1, 2017 Accepting new patients
Advocate Health Partners, LLC CurrentSince Oct 2, 2022 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

35095 US Highway 19 N
Ste 102
Palm Harbor, FL 34684
Phone (727) 674-1400

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 3

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1922446848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 RIVERSIDE DR",
            "address_2": "UNIT 1203",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "772-321-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SOLANA BLVD BLDG 2",
            "address_2": "# 2200",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762621659",
            "telephone_number": "817-767-6111",
            "fax_number": "817-582-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBENSCHOTEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "130449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, TX

Sources for this page

Verify at the official NPI Registry.