NPIMap

Organization Active NPI

A. Benavides, M.D., Inc.

  • Urology Physician
  • Martinsburg, WV
National Provider Identifier
1962533844
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10389 Issued in WV
Legal business name
A. BENAVIDES, M.D., INC.
Practice address
1004 Sushruta Dr
Suite B
Martinsburg, WV 25401-8898
Phone
(304) 263-4949
Fax
(304) 263-8725
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aurelio Benavides, M.D.
Title
President
Phone
(304) 263-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0130592000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962533844",
    "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": {
        "organization_name": "A. BENAVIDES, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "AURELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-263-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.