FORTUNATO PEREZ-BENAVIDES MD
NPI 1629030945
Pediatrics - Neonatal-Perinatal Medicine in Lubbock, TX

Q: What is Fortunato Perez-benavides's NPI number?

The NPI number for Fortunato Perez-benavides is 1629030945. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Fortunato Perez-benavides's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since April 03, 2006PECOS Enrolled

602 INDIANA AVE, NICU, UNIVERSITY MEDICAL CENTER, LUBBOCK, TX 79415(806) 775-8808(806) 775-9181 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Fortunato Perez-benavides Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORTUNATO PEREZ-BENAVIDES MD (NPI 1629030945) is an individual neonatal-perinatal medicine provider in Lubbock, Texas, licensed in Texas (H8794) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629030945

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameFORTUNATO PEREZ-BENAVIDESCredential: MD

Location Address602 INDIANA AVE, NICU, UNIVERSITY MEDICAL CENTERLubbock, TX 79415-3364

Mailing Address306 Vicksburg AveLubbock, TX 79416-3105 · (806) 797-6053

Phone(806) 775-8808

Fax(806) 775-9181

Sole ProprietorNo

Enumeration DateApril 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629030945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TX · H8794

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

602 INDIANA AVE, Lubbock, TX 79415

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Other Identifiers 2

Medicare UPINC78448TX

Medicaid141691903TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fortunato Perez-benavides Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Fortunato Perez-benavides reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrix Medical Group Of Texas Billing, Inc.

457 mi

Neonatal-Perinatal Medicine

2929 WOODLAND PARK DR
Houston, TX 77082

Reassigned Medicare billing, Texas enrollment
508 clinicians in this Medicare group

NPI 1649377359 (281) 293-7774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEERAPONG LILITWAT MD

Pediatrics (Pediatric Critical Care Medicine)