NPIMap

Individual provider Active NPI

Benjamin Scott Zertuche, M.D.

  • Family Medicine Physician
  • Pleasanton, TX
National Provider Identifier
1992788087
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2066 Issued in TX
Practice address
1746 W Goodwin St
Pleasanton, TX 78064-4500
Phone
(830) 268-5040
Fax
(800) 769-6492
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 L2066 TX Primary

Addresses

Primary practice location

1746 W Goodwin St
Pleasanton, TX 78064-4500

Mailing address

1746 W Goodwin St
Pleasanton, TX 78064-4500
Phone (830) 268-5040

Other identifiers 1

IdentifierTypeStateIssuer
147996605MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000085 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 6507812187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2066TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BSZ Medical, P.a. Family Medicine CurrentSince Aug 25, 2010 Accepting new patients
Maverick County Hospital District Past Accepting new patients
Bexar County Hospital District Past Accepting new patients
Maverick County Hospital District Past Accepting new patients
Linda Baker O.D. and Associates PLLC Family Medicine Past Accepting new patients
Labranjor Health Care LLC Past Accepting new patients
Bexar County Hospital District Past Accepting new patients
Preferred Podiatry Group PC Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Maverick County Hospital District Past Accepting new patients
Frio Hospital Association Past Accepting new patients

Locations

256 Medical Dr
Jourdanton, TX 78026
Phone (830) 769-2480

1746 W Goodwin St
Pleasanton, TX 78064
Phone (830) 268-5040

Interoperability endpoints

  • Direct secure messaging: bzertuche412823@christushealth.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Country Care ManorLa Vernia, TX, CCN 675947 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2016
Dec 1, 2016
The Heights of AtascosaPleasanton, TX, CCN 676181 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2014
Dec 1, 2014
BSZ Medical PAPleasanton, TX, CCN 673926 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee (100%)		 Jun 28, 2010
Aug 25, 2010
Aug 25, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1746 W Goodwin
Pleasanton, TX 78064-4500
Phone (830) 399-4734

1746 W Goodwin St
Pleasanton, TX 78064-4500

Hospital & facility affiliations

  • Elite Home Health Home health agency, Jourdanton, TX, CCN 677127
  • Anchorage Hospice, Inc. Hospice, San Antonio, TX, CCN 971545
  • Methodist Hospital Atascosa Hospital, Jourdanton, TX, CCN 450165
  • Pleasanton South Nursing and Rehabilitation Nursing home, Pleasanton, TX, CCN 675428
  • The Heights of Atascosa Nursing home, Pleasanton, TX, CCN 676181
  • Country Care Manor Nursing home, La Vernia, TX, CCN 675947
  • Jourdanton Nursing and Rehabilitation Nursing home, Jourdanton, TX, CCN 455549

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1992788087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644500",
            "telephone_number": "830-268-5040",
            "fax_number": "800-769-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644500",
            "telephone_number": "830-268-5040",
            "fax_number": "800-769-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERTUCHE",
        "first_name": "BENJAMIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147996605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

Verify at the official NPI Registry.