Active NPI
Anastasia V Benoit, M.D.
- MOHS-Micrographic Surgery Physician
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- DR.0056686
- Practice address
- 905 W 124TH Ave Ste 170
Westminster, CO 80234-1716 - Phone
- (303) 442-6647
- Fax
- (303) 442-2696
- NPI assigned
- Jun 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | DR.0056686 | CO | Primary |
| Dermatology Physician | 207N00000X | DR.0056686 | CO |
Addresses
Primary practice location
905 W 124TH Ave Ste 170
Westminster, CO 80234-1716
Mailing address
1056 S 88TH St
Louisville, CO 80027-9460
Phone (303) 442-6647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 W 124TH Ave
Suite 170
Westminster, CO 80234-1716
Phone 3034426647309
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 73 |
| Removal of skin lesions | 109 |
| Removal of skin cancer | 504 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Boulder, PC | Dermatology | Current | Accepting new patients |
Locations
2880 Folsom St
Ste 200
Boulder, CO 80304
Phone (303) 442-6647
36 S 18th Ave
Ste H
Brighton, CO 80601
Phone (303) 442-6647
1056 S 88th St
Louisville, CO 80027
Phone (303) 442-6647
776 W Eisenhower Blvd
Loveland, CO 80537
Phone 3034426647309
11990 Grant St
Ste 300
Northglenn, CO 80233
Phone (303) 442-6647
10359 Federal Blvd
Ste 210
Westminster, CO 80260
Phone (303) 404-0200
905 W 124th Ave
Ste 170
Westminster, CO 80234
Phone (303) 442-6647
Organizations & group practices 1
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.
-
- MOHS-Micrographic Surgery Physician
- Louisville, CO
- NPI 1053449306
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1063708709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 S 88TH ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279460",
"telephone_number": "303-442-6647",
"fax_number": "303-442-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W 124TH AVE STE 170",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802341716",
"telephone_number": "303-442-6647",
"fax_number": "303-442-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOIT",
"first_name": "ANASTASIA",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CO",
"license": "DR.0056686",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "DR.0056686",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.