Individual provider Active NPI

Neethu Benny, MD

  • Family Medicine Physician
  • Duncanville, TX
National Provider Identifier
1992388987
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V2021 Issued in TX
Practice address
1014 E Wheatland Rd
Duncanville, TX 75116-4914
Phone
(214) 550-2330
Fax
(214) 550-2331
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V2021 TX Primary

Addresses

Primary practice location

1014 E Wheatland Rd
Duncanville, TX 75116-4914

Mailing address

701 W 5TH St Ste 1229
Odessa, TX 79763-4206
Phone (432) 703-5238

Other practice location 1

7505 Glenview Dr Ste 151
Richland Hills, TX 76180-8335
Phone (817) 284-9922

Other practice location 2

255 W Lebanon Ste 116
Frisco, TX 75036-3412
Phone (469) 405-0500

Other practice location 3

701 W 5th St Ste 1229
Odessa, TX 79763-4206
Phone (432) 703-5238

Other practice location 4

1251 E Red Bird Ln Ste A
Dallas, TX 75241-2008
Phone (214) 377-0608

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009002971 TX Practitioner - Family Practice 6901337377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waterstone Wellness PLLCGroup PAC ID 7416211453, 4 clinicians

Practice addresses (Care Compare)

1014 E Wheatland Rd
Suite a Alphahealth Med Assoc
Duncanville, TX 75116-4914
Phone (214) 550-2330

Hospital & facility affiliations

  • Newway Healthcare Services Inc Home health agency, Garland, TX, CCN 747562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Waterstone Wellness, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Salam Al-Hafidh MD Facp PA Past Accepting new patients

Locations

1251 E Red Bird Ln
Ste A
Dallas, TX 75241
Phone (214) 377-0608

1014 E Wheatland Rd
Duncanville, TX 75116
Phone (214) 550-2330

1014 E Wheatland Rd
Ste A
Duncanville, TX 75116
Phone (214) 550-2330

255 W Lebanon
Ste 116
Frisco, TX 75036
Phone (469) 405-0500

7505 Glenview Dr
Ste 151
Richland Hills, TX 76180
Phone (817) 284-9122

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1992388987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST STE 1229",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164914",
            "telephone_number": "214-550-2330",
            "fax_number": "214-550-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7505 Glenview Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761808335",
            "country_code": "US",
            "telephone_number": "817-284-9922",
            "fax_number": "817-284-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 W Lebanon Ste 116",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750363412",
            "country_code": "US",
            "telephone_number": "469-405-0500",
            "fax_number": "469-405-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W 5th St Ste 1229",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797634206",
            "country_code": "US",
            "telephone_number": "432-703-5238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 E Red Bird Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752412008",
            "country_code": "US",
            "telephone_number": "214-377-0608",
            "fax_number": "214-432-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNY",
        "first_name": "NEETHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.