Individual provider Active NPI

Mari J Bentley, M.D.

  • Family Medicine Physician
  • Boston, MA
National Provider Identifier
1043299027
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209027 Issued in MA
Practice address
850 Harrison Avenue
Yacc 5
Boston, MA 02118
Phone
(617) 414-2000
Fax
(617) 414-5798
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101261551 VA
Family Medicine Physician 207Q00000X 209027 MA Primary

Addresses

Primary practice location

850 Harrison Avenue
Yacc 5
Boston, MA 02118

Mailing address

801 Albany Street
FL G
Boston, MA 02119-3791

Other practice location 1

515 Newtown Rd
Virginia Beach, VA 23462-5620
Phone (757) 499-7526

Other identifiers 1

IdentifierTypeStateIssuer
110004861AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040617001035 MA Practitioner - Family Practice 2860476629 Reassigns benefits to 5 organizations
I20240321000241 VA Practitioner - Family Practice 2860476629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myhome Healthcare PLLCGroup PAC ID 1254741408, 11 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 414-2000

720 Harrison Ave
Suite 1105
Boston, MA 02118-2334
Phone (617) 414-2000

800 Turnpike St
Suite 300
North Andover, MA 01845-6156
Phone (978) 494-0441

Hospital & facility affiliations

  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101261551VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myhome Healthcare, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Boston University Family Medicine, Inc. Family Medicine CurrentSince Apr 6, 2020 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. CurrentSince Jan 1, 2002 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston Medical Center Corporation CurrentSince Dec 1, 2019 Accepting new patients
Boston Medical Center Corporation CurrentSince Dec 1, 2019 Accepting new patients
The Virginia League for Planned Parenthood CurrentSince Mar 12, 2024 Accepting new patients
Hartford Physician'S Management Corp. Past Accepting new patients

Locations

850 Harrison Ave
#5
Boston, MA 02118
Phone (617) 414-2000

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000

637 Washington St
Dorchestr Ctr, MA 02124
Phone (617) 822-8211

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

800 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 494-0441

4199 Washington St
Roslindale, MA 02131
Phone (617) 323-4440

801 Albany St
Fl G
Roxbury, MA 02119

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

403 Yale Dr
Hampton, VA 23666
Phone (757) 826-2079

201 N Hamilton St
Richmond, VA 23221
Phone (804) 355-4358

515 Newtown Rd
Virginia Beach, VA 23462
Phone (757) 309-4827

Interoperability endpoints

  • Direct secure messaging: mari.bentley.1@22118.direct.athenahealth.com
  • Direct secure messaging: mbentley9497@direct.bmc.masshiway.net
  • Direct secure messaging: mbentley292683@direct.ochin.org
  • FHIR API: https://api.platform.athenahealth.com/22118/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mari.bentley.1@1344.direct.athenahealth.com

Organizations & group practices 9

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1043299027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ALBANY STREET",
            "address_2": "FL G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021193791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVENUE",
            "address_2": "YACC 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-2000",
            "fax_number": "617-414-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625620",
            "country_code": "US",
            "telephone_number": "757-499-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MARI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261551",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "209027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110004861A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.