JOSE B. BENIGNO MEDICAL CLINIC, P.A.
NPI 1841380615
Clinic/Center - Primary Care in Odessa, TX
About Jose B. Benigno Medical Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE B. BENIGNO MEDICAL CLINIC, P.A. (NPI 1841380615) is a healthcare organization registered as a primary care in Odessa, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Jose Bato Benigno, President / Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jose B. Benigno Medical Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jose B. Benigno Medical Clinic, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0982629
Jose Benigno Medical Clinic · Odessa, TXFrequently 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 Jose B. Benigno Medical Clinic, P.A.'s NPI number?
The NPI number for Jose B. Benigno Medical Clinic, P.A. is 1841380615. It was assigned to this organization in the NPPES registry on October 13, 2006.
Where is Jose B. Benigno Medical Clinic, P.A. located?
Jose B. Benigno Medical Clinic, P.A. is located at 115 W 42nd St, Odessa, TX 79764. The listed phone number is (432) 367-4817.
What is Jose B. Benigno Medical Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jose B. Benigno Medical Clinic, P.A. enrolled in Medicare?
Yes. Jose B. Benigno Medical Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is Jose B. Benigno Medical Clinic, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jose B. Benigno Medical Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Jose B. Benigno Medical Clinic, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jose B. Benigno Medical Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0982629) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jose B. Benigno Medical Clinic, P.A. was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Jose B. Benigno Medical Clinic, P.a. · NPI 1841380615
Primary Care organization in Odessa, Texas. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1841380615 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jose Benigno, PRESIDENT / SECRETARY
## Practice location
- **Address:** 115 W 42ND ST, Odessa, TX 79764-4001
- **Phone:** (432) 367-4817
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pediatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 00210W (TX); Medicaid 171721702 (TX); Medicaid 171721701 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841380615) · Data from the CMS NPPES public registry.