Individual provider Active NPI

Maya Bendly, PA

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1104522648
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
292 NW 69TH Ave
Plantation, FL 33317-2321
Phone
(954) 646-4567
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

292 NW 69TH Ave
Plantation, FL 33317-2321

Mailing address

292 NW 69TH Ave Apt 167
Plantation, FL 33317-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025002575 FL Practitioner - Physician Assistant 9032565106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSMC Interventional, LLCGroup PAC ID 2264686443, 11 clinicians
Neurosurg LLCGroup PAC ID 2860412509, 15 clinicians

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2071

4302 Alton Rd
Suite 810
Miami Beach, FL 33140-2893
Phone (305) 674-2950

4306 Alton Rd
2ND FL
Miami Beach, FL 33140-2800

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
93.7 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
56.03

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
93.89
Promoting interoperability
100
Improvement activities
40
Cost
60.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1104522648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 NW 69TH AVE APT 167",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 NW 69TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172321",
            "telephone_number": "954-646-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDLY",
        "first_name": "MAYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.