Active NPI
Michael Ernest Bennett, MD
- Diagnostic Radiology Physician
- Denver, CO
National Provider Identifier
1083698385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- CDRH.0044660
- Practice address
- 938 Bannock St
Ste. 300
Denver, CO 80204-4028 - Phone
- (303) 914-8800
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 200400806 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | CDRH.0044660 | CO | Primary |
| Neuroradiology Physician | 2085N0700X | 44660 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 25IA12793300 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0044660 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 339051 | NY |
Addresses
Primary practice location
938 Bannock St
Ste. 300
Denver, CO 80204-4028
Mailing address
1746 Cole Blvd
Ste 150
Lakewood, CO 80401-3267
Phone (303) 914-8800
Other practice location 1
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47053739 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MI, MT, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of North Dakota School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Castle Rock, CO 80108
Phone (570) 271-6144
128 Neon Way
Castle Rock, CO 80108-3123
Phone (952) 595-1100
Hospital & facility affiliations
- Arkansas Valley Regional Medical Center
- Down East Community Hospital
- Medical Center Hospital
- Cox Medical Centers
- Geisinger-Lewistown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44660 | CO | MD | Neuroradiology Physician |
| 200400806 | NC | MD | Neuroradiology Physician |
| CDRH.0044660 | CO | MD | Diagnostic Radiology Physician |
| 25IA12793300 | NJ | MD | Diagnostic Radiology Physician |
| 339051 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Lee Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Family Medicine | Current | Accepting new patients |
| Houlton Regional Hospital | Current | Accepting new patients | |
| South Jersey Radiology Associates P a | Diagnostic Radiology | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Englewood Radiologic Group P a | Diagnostic Radiology | Current | Accepting new patients |
| Ascension Borgess Lee Hospital | Current | Accepting new patients | |
| Radiology Associates of Burlington County P a | Diagnostic Radiology | Current | Accepting new patients |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Macon PC | Diagnostic Radiology | Past | Accepting new patients |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Flatirons Radiology, LLC | Neuroradiology | Past | Accepting new patients |
| Cira Michigan PC | Diagnostic Radiology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900
3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 23
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.
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
- Diagnostic Radiology Physician
- Mount Holly, NJ
- NPI 1255385183
CO
-
- Critical Access Hospital
- Sidney, MT
- NPI 1285719161
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- La Junta, CO
- NPI 1760489470
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1497338313
-
- Ambulatory Surgical Clinic/Center
- Port Matilda, PA
- NPI 1801531322
Hospital
-
- Psychiatric Hospital Unit
- Lewistown, PA
- NPI 1831242114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1083698385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 COLE BLVD",
"address_2": "STE 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013267",
"telephone_number": "303-914-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 BANNOCK ST",
"address_2": "STE. 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802044028",
"telephone_number": "303-914-8800"
}
],
"practiceLocations": [
{
"address_1": "3600 Minnesota Dr Ste 800",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554357915",
"country_code": "US",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "MICHAEL",
"middle_name": "ERNEST",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "200400806",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "CDRH.0044660",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CO",
"license": "44660",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25IA12793300",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0044660",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "339051",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47053739",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.