Active NPI
Robert Alan Benson, M.D.
- Cardiovascular Disease Physician
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 116243
- Practice address
- 731 12TH Ave NW Ste 103
Ardmore, OK 73401-5762 - Phone
- (580) 220-6180
- Fax
- (580) 226-1120
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 44588 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 116243 | OK | Primary |
Addresses
Primary practice location
731 12TH Ave NW Ste 103
Ardmore, OK 73401-5762
Mailing address
7800 NW 85TH Ter
Oklahoma City, OK 73132-3385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200018790A | Medicaid | OK | |
| 193634602 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbenson@direct.okheart.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44588 | TN | MD | Pharmacist |
| 116243 | OK | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Ardmore, Inc. | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Mercy Memorial Health Center Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Memorial Ekg Associates | Past | Accepting new patients | |
| Cardiology of Tulsa Inc. Dba Cardiology Diagnostics of Tulsa | Cardiovascular Disease | Past | Accepting new patients |
| McAlester Heart, PC | Specialist | Past | Accepting new patients |
| Texas Cardiovascular Consultants, P.a. | Cardiovascular Disease | Past | Accepting new patients |
| Texas Cardiovascular Consultants, PA | Cardiovascular Disease | Past | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Texas Cardiovascular Consultants-San Angelo, PA | Cardiovascular Disease | Past | Accepting new patients |
| River Park Physician Group LLC | Past | Accepting new patients |
Locations
731 12th Ave NW
Ste 200
Ardmore, OK 73401
Phone (580) 220-6189
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
731 12th Ave NW
Ste 301
Ardmore, OK 73401
Phone (580) 220-6180
205 S Academy Rd
Guthrie, OK 73044
Phone (405) 282-9400
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Interoperability endpoints
- https://api.platform.athenahealth.com/1925/brand/4/csg/41/fhir/r4
- rbenson@direct.okheart.com
- rbenson199515@directc.mercy.net
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Cardiovascular Disease Physician
- Ardmore, OK
- NPI 1578906657
-
- Specialist
- McAlester, OK
- NPI 1740299726
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Physical Therapist
- Ardmore, OK
- NPI 1093031221
-
- Cardiovascular Disease Physician
- Tulsa, OK
- NPI 1255528956
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1992928618
-
- Orthopaedic Surgery Physician
- MC Minnville, TN
- NPI 1558508028
-
- Cardiovascular Disease Physician
- San Angelo, TX
- NPI 1134321532
-
- Cardiovascular Disease Physician
- West Lake Hills, TX
- NPI 1427299825
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1932354479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1962442954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 NW 85TH TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 12TH AVE NW STE 103",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734015762",
"telephone_number": "580-220-6180",
"fax_number": "580-226-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "44588",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OK",
"license": "116243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200018790A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193634602",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbenson@direct.okheart.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "731 12th Ave NW Ste 103",
"city": "Ardmore",
"state": "OK",
"country_code": "US",
"postal_code": "734015762",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.