Active NPI
Enrique F Benavides III, MD
- Obstetrics & Gynecology Physician
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K9224
- Practice address
- 1020 E Hillside Rd
Laredo, TX 78041-3287 - Phone
- (956) 727-7303
- Fax
- (956) 726-1224
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K9224 | TX | Primary |
Addresses
Primary practice location
1020 E Hillside Rd
Laredo, TX 78041-3287
Mailing address
1020 E Hillside Rd
Laredo, TX 78041-3287
Phone (956) 727-7303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100796503 | Medicaid | TX |
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
- Obstetrics/Gynecology
- Education
- University of Texas Medical Branch at Galveston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 E Hillside Rd
Laredo, TX 78041-3287
Phone (956) 727-7303
713 Northcreek Dr
Laredo, TX 78041-3287
Hospital & facility affiliations
- Laredo Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9224 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Community Health Center, Inc | Current | Accepting new patients | |
| Gateway Community Health Center, Inc | Current | Accepting new patients | |
| Laredo Womens Center, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Laredo Texas Hospital Company LP | Past | Accepting new patients | |
| Gateway Community Health Center, Inc. | Past | Accepting new patients |
Locations
208 Shiloh Dr
Ste 1
Laredo, TX 78045
Phone (956) 718-6281
1020 E Hillside Rd
Laredo, TX 78041
Phone (956) 727-7303
1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Laredo, TX
- NPI 1235219866
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1720192792
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1891660759
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1255376976
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1972504181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 E HILLSIDE RD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413287",
"telephone_number": "956-727-7303",
"fax_number": "956-726-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E HILLSIDE RD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413287",
"telephone_number": "956-727-7303",
"fax_number": "956-726-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAVIDES",
"first_name": "ENRIQUE",
"middle_name": "F",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K9224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100796503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.