Active NPI
Leslie Bennett-Granata, MD
- Family Medicine Physician
- Hillsdale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301075087
- Practice address
- 451 Hidden Meadows Dr
Suite 120
Hillsdale, MI 49242-9812 - Phone
- (517) 437-0010
- Fax
- (517) 437-0319
- NPI assigned
- Jul 8, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301075087 | MI | Primary |
Addresses
Primary practice location
451 Hidden Meadows Dr
Suite 120
Hillsdale, MI 49242-9812
Mailing address
12 E Bacon St
Hillsdale, MI 49242-1616
Phone (517) 437-7010
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P107546 | Other | MI | BCN |
| 080160720 | Other | MI | MEDICARE RAILROAD |
| 103257 | Other | MI | GLHP |
| 0120145 | Other | MI | PHP |
| 0803000492 | Other | MI | BCBS |
| 4210900 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Baylor College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
451 Hidden Meadows Dr
Suite 120
Hillsdale, MI 49242-9812
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie M Bennett MD PC | Family Medicine | Current | Accepting new patients |
| Hillsdale Community Health Center | Current | Accepting new patients | |
| Barb Corbett, LLC | Past | Accepting new patients | |
| Karen Lindower DO PLLC | Family Medicine | Past | Accepting new patients |
| LDK III Holdings, LLC | Family Medicine | Past | Accepting new patients |
Locations
183 Hillsdale St
Hillsdale, MI 49242
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
12 E Bacon St
Hillsdale, MI 49242
Phone (517) 437-7040
240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040
451 Hidden Meadows Dr
Ste 120
Hillsdale, MI 49242
Phone (517) 437-0010
12 E Bacon St
Ofc
Hillsdale, MI 49242
Phone (517) 437-7040
Interoperability endpoints
- lbennett117842@direct.parkviewexchange.com
- leslie.bennett.1@3688.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Hillsdale, MI
- NPI 1952951014
-
- Family Medicine Physician
- Hillsdale, MI
- NPI 1346677291
-
- Clinical Social Worker
- Hillsdale, MI
- NPI 1356515050
-
- Family Medicine Physician
- Hillsdale, MI
- NPI 1669991543
-
- Family Medicine Physician
- Hillsdale, MI
- NPI 1073929089
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillsdale Hospital
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1093713679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 E BACON ST",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492421616",
"telephone_number": "517-437-7010",
"fax_number": "517-437-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HIDDEN MEADOWS DR",
"address_2": "SUITE 120",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429812",
"telephone_number": "517-437-0010",
"fax_number": "517-437-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT-GRANATA",
"first_name": "LESLIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301075087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P107546",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080160720",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "103257",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0120145",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0803000492",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4210900",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.