Active NPI
Yvonne Bennett, M.D.
- Internal Medicine Physician
- Greenwood Village, CO
National Provider Identifier
1245265131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30036
- Practice address
- 6161 S Syracuse Way
310
Greenwood Village, CO 80111-4707 - Phone
- (303) 220-5707
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30036 | CO | Primary |
Addresses
Primary practice location
6161 S Syracuse Way
310
Greenwood Village, CO 80111-4707
Mailing address
PO Box 4277
Englewood, CO 80155-4277
Phone (303) 220-5707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01300367 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gfma Acq, LLC | Current | Accepting new patients | |
| Destiny Post Acute Care Services P.C | Internal Medicine | Past | Accepting new patients |
| Gfma Acq, LLC | Past | Accepting new patients | |
| Reza Esfahani, D.O., P.C. | Past | Accepting new patients | |
| Long Term Care and Rehab Consultants | Past | Accepting new patients |
Locations
6850 W 52nd Ave
Ste 100
Arvada, CO 80002
Phone (720) 399-0025
3885 Upham St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 742-0086
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Wheat Ridge, CO
- NPI 1245969195
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1376319574
-
- Geriatric Medicine (Family Medicine) Physician
- Denver, CO
- NPI 1235061268
-
- Family Medicine Physician
- Arvada, CO
- NPI 1306946728
-
- Family Medicine Physician
- Greenwood Village, CO
- NPI 1881705945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245265131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4277",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801554277",
"telephone_number": "303-220-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S SYRACUSE WAY",
"address_2": "310",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114707",
"telephone_number": "303-220-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "30036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01300367",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.