SAMUEL BENAVIDES
NPI 1629911623
Pediatrics - Pediatric Cardiology in Houston, TX

Active since April 13, 2026PECOS Enrolled
6411 FANNIN ST, HOUSTON, TX 77030(713) 704-4000 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 4, 2026, Apr 13, 2026 (2 updates tracked since 2026).

About Samuel Benavides NPPES

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

SAMUEL BENAVIDES (NPI 1629911623) is an individual pediatric cardiology provider in Houston, Texas, licensed in Texas (PA20681) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629911623
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSAMUEL BENAVIDES
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address6411 Fannin StHouston, TX 77030-1501
Sole ProprietorNo
Enumeration DateApril 13, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1629911623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · PA20681
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
6411 FANNIN ST, Houston, TX 77030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Benavides 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.

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.

Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Benavides's NPI number?

The NPI number for Samuel Benavides is 1629911623. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Samuel Benavides located?

Samuel Benavides practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is Samuel Benavides's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Samuel Benavides enrolled in Medicare?

Yes. Samuel Benavides is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Benavides was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.