Individual provider Active NPI

Leslie Bennett-Granata, MD

  • Family Medicine Physician
  • Hillsdale, MI
National Provider Identifier
1093713679
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301075087 Issued in MI
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

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P107546OtherMIBCN
080160720OtherMIMEDICARE RAILROAD
103257OtherMIGLHP
0120145OtherMIPHP
0803000492OtherMIBCBS
4210900MedicaidMI

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
Green means eligible to order or refer.

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

OrganizationSpecialtyStatusNew patients
Leslie M Bennett MD PC Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Hillsdale Community Health Center CurrentSince Nov 13, 2023 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

  • Direct secure messaging: lbennett117842@direct.parkviewexchange.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.