Active NPI
Eliza Gaenger Bennitt, MD
- Internal Medicine Physician
- Menlo Park, CA
National Provider Identifier
1043315740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A87850
- Practice address
- 1300 Crane St
Menlo Park, CA 94025-4260 - Phone
- (650) 498-6649
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A87850 | CA | Primary |
Addresses
Primary practice location
1300 Crane St
Menlo Park, CA 94025-4260
Mailing address
1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6649
Other practice location 1
PO Box 60000
File 72484
San Francisco, CA 94160-0001
Phone (999) 999-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070222000243 | CA | Practitioner - Internal Medicine | 9638271653 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Stanford University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500
Hospital & facility affiliations
- Stanford Health Care
- Peninsula Medical Center
- Sequoia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Alliance | Internal Medicine | Current | Accepting new patients |
| Affinity Medical Group | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients |
Locations
1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000
Interoperability endpoints
- ebennitt32709@direct.stanfordhealthcare.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
CA, Internal Medicine
-
- Case Manager/Care Coordinator
- Foster City, CA
- NPI 1689708042
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
Hospital & facility affiliations 10
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": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1043315740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 CRANE ST",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254260",
"telephone_number": "650-498-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CRANE ST",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254260",
"telephone_number": "650-498-6649"
}
],
"practiceLocations": [
{
"address_1": "PO Box 60000",
"address_2": "File 72484",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941600001",
"country_code": "US",
"telephone_number": "999-999-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNITT",
"first_name": "ELIZA",
"middle_name": "GAENGER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A87850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.