Individual provider Active NPI

Yvonne Bennett, M.D.

  • Internal Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1245265131
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30036 Issued in CO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01300367MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000695 CO Practitioner - Internal Medicine 0941498323 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gfma Acq, LLC CurrentSince Jan 1, 2023 Accepting new patients
Destiny Post Acute Care Services P.C Internal Medicine Past Accepting new patients
Gfma Acq, LLC PastSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.