Individual provider Active NPI

Anastasia V Benoit, M.D.

  • MOHS-Micrographic Surgery Physician
  • Westminster, CO
National Provider Identifier
1063708709
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
DR.0056686 Issued in CO
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

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001685 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6002101730 Reassigns benefits to 1 organization

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
Dermatology Specialists of Boulder PCGroup PAC ID 3678668761, 13 clinicians

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision73
Removal of skin lesions109
Removal of skin cancer504
Removal or shaving of skin growth1-10
Skin biopsy23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Boulder, PC Dermatology CurrentSince Sep 1, 2016 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.

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

Verify at the official NPI Registry.