Individual provider Active NPI

Patricia A Benoist, MD

  • Family Medicine Physician
  • Houston, MO
National Provider Identifier
1942359005
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008016594 Issued in MO
Practice address
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone
(417) 967-5639
Fax
(417) 967-5667
NPI assigned
Jan 9, 2007
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01063028A IN
Pediatrics Physician 208000000X 2008016594 MO
Family Medicine Physician 207Q00000X 2008016594 MO Primary

Addresses

Primary practice location

1337 S Sam Houston Blvd
Houston, MO 65483-2046

Mailing address

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5639

Other practice location 1

1422 S Sam Houston Blvd
Houston, MO 65483-2130
Phone (417) 967-4445

Other names 1

  • Patricia A Eden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080920000050 MO Practitioner - Family Practice 7517055973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas County Memorial HospitalGroup PAC ID 9436041696, 30 clinicians

Practice addresses (Care Compare)

1333 S Sam Houston Blvd
Houston, MO 65483-2046

1333 S Sam Houston Blvd a
Houston, MO 65483-2046
Phone (417) 967-1252

1335 S Sam Houston Blvd
Houston, MO 65483-2046

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
84.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008016594MOMDFamily Medicine Physician
01063028AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital CurrentSince Nov 15, 2018 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Nov 15, 2018 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Texas County Memorial Hospital Family Medicine Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

1422 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

Interoperability endpoints

  • Direct secure messaging: pbenoist4790@directb.mercy.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1942359005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5639",
            "fax_number": "417-967-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5639",
            "fax_number": "417-967-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1422 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832130",
            "country_code": "US",
            "telephone_number": "417-967-4445",
            "fax_number": "417-967-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIST",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01063028A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2008016594",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008016594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "EDEN",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.