John David Bennett, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00653 Issued in IA

Practice address

3200 Grand Ave
Des Moines, IA 50312-4104

Phone

(515) 271-1731

Fax

(515) 271-1692

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Des Moines University Osteopathic Medical CenterGroup PAC ID 6002713443, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbennett12487@direct.unitypoint.org
• Direct secure messaging: john.bennett.1@11667.direct.athenahealth.com

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.

• Des Moines University Osteopathic Medical Center

  • Family Medicine Physician
  • Des Moines, IA
  • NPI 1164475760

  IA

  Medicare reassignment Care Compare group NPD
• Des Moines University Osteopathic Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Des Moines, IA
  • NPI 1043380801

  Podiatrist

  Care Compare group NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049

  Hospital

  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951

  Hospital

  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1598905762

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1124010889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124104",
            "telephone_number": "515-271-1731",
            "fax_number": "515-271-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124104",
            "telephone_number": "515-271-1731",
            "fax_number": "515-271-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172239",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Benjamin
• Debra Ann Benjamin, D.O.
• Zachary Alex Bennehoff, MD
• Franceska D Bennett
• Jacob Logan Bennett, RPH
• Stefanie Bennett, DO
• Theresa M Benskin, MD
• Brandon Benson
• Christy Elizabeth Benson, M.D.
• Brittney Bentil, DPT

• All providers in Des Moines, IA
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.

Verify at the official NPI Registry.