Suzanne Lisette Vanbenthuysen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N6743 Issued in TX

Practice address

12005 Bee Caves Rd Ste 2a
Austin, TX 78738-6389

Phone

(512) 225-0766

Fax

(512) 225-0770

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pediatric Medicine

Education

State University of New York Downstate Medical Center, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzanne.van.benthuysen.1@11316.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4

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.

• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104

  TX

  Medicare reassignment NPD
• Austin Health Partners PLLC

  • Pediatrics Physician
  • Cedar Park, TX
  • NPI 1144724261

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1962673301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 W COURTYARD DR STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787305064",
            "telephone_number": "512-328-2266",
            "fax_number": "512-328-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 BEE CAVES RD STE 2A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386389",
            "telephone_number": "512-225-0766",
            "fax_number": "512-225-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBENTHUYSEN",
        "first_name": "SUZANNE",
        "middle_name": "LISETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6743",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "253271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Van Nguyen MD PA
• Steven Lester Van Wicklen, D.D.S.
• Shannon Van Zandt
• Phillip Isaac Van, MD
• Vanaja Associates, M.D., P.a
• Andrea Kathryn Vance, MSN, APRN, NNP-BC
• James L Vance, DC
• Olivia Maggitti Vance, CRNA
• Richard B Vance, DC
• Robert Eugene Vance, ED.D.

• All providers in Austin, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.