Active NPI
Suzanne Lisette Vanbenthuysen, MD
- Pediatrics Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N6743
- 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
- Last updated
- Jan 26, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N6743 | TX | Primary |
| Pediatrics Physician | 208000000X | 253271 | NY |
Addresses
Primary practice location
12005 Bee Caves Rd Ste 2a
Austin, TX 78738-6389
Mailing address
6034 W Courtyard Dr Ste 110
Austin, TX 78730-5064
Phone (512) 328-2266
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- State University of New York Downstate Medical Center, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 Binz St
Suite 1490
Houston, TX 77004-6946
12005 Bee Cave Pkwy
Suite 2a
Austin, TX 78738-6385
2000 Health Park Dr
Brentwood, TN 37027-4525
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253271 | NY | MD | Pediatrics Physician |
| N6743 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. David's Carenow Urgent Care PLLC | Current | Accepting new patients | |
| Austin Health Partners PLLC | Pediatrics | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
11521 N Ranch Road 620
Ste 100
Austin, TX 78726
Phone (512) 402-6830
208 W Ben White Blvd
Austin, TX 78704
Phone (512) 351-4310
5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980
5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000
Interoperability endpoints
- https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4
- suzanne.van.benthuysen.1@11316.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
-
- Pediatrics Physician
- Cedar Park, TX
- NPI 1144724261
NPI Registry JSON
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": []
}
Other providers in Austin, TX
Sources for this page
- 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.