Individual provider Active NPI

Scott Bendix, MD

  • Vascular Surgery Physician
  • Farmington Hills, MI
National Provider Identifier
1114288206
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301100724 Issued in MI
Practice address
28100 Grand River Ave Ste 200
Farmington Hills, MI 48336-5969
Phone
(947) 521-8829
Fax
(248) 471-8352
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301100724 MI
Vascular Surgery Physician 2086S0129X 4301100724 MI Primary

Addresses

Primary practice location

28100 Grand River Ave Ste 200
Farmington Hills, MI 48336-5969

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824002030 MI Practitioner - Vascular Surgery 0749570638

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Vascular Associates PLLCGroup PAC ID 0042430548, 4 clinicians

Practice addresses (Care Compare)

25350 Kelly Rd
Suite a
Roseville, MI 48066-5824
Phone (586) 270-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.46 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
89.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)19
Removal of tissue12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vascular Associates, PLLC Vascular Surgery CurrentSince Aug 1, 2021 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

20905 E 12 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 772-3500

25350 Kelly Rd
Roseville, MI 48066
Phone (586) 270-5100

25350 Kelly Rd
Ste A
Roseville, MI 48066

29519 Harper Ave
St Clr Shores, MI 48081
Phone (313) 333-7372

Interoperability endpoints

  • Direct secure messaging: premiervascularassociatespllc.scottbendix@128861.advancedmd-direct.com

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 5

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1114288206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 GRAND RIVER AVE STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365969",
            "telephone_number": "947-521-8829",
            "fax_number": "248-471-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDIX",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301100724",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301100724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.