Deborah Raye Bennett, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4710 Issued in AZ

Practice address

30880 Beck Rd
Novi, MI 48377

Phone

(248) 926-0009

Fax

(248) 926-8972

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

84.85 of 100Reported as group

Quality

84.49

Promoting interoperability

83

Improvement activities

40

Cost

79.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13300/brand/1/csg/1/fhir/r4
• Direct secure messaging: bennett.deborah.raye@direct.azkrmc.md

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.

• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Family Medicine

  NPD
• S Park-Davis Healthcare

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1649631813

  Family Medicine

  NPD (past)
• Toni Ballitch Trate DO PC

  • General Practice Physician
  • Farmington Hills, MI
  • NPI 1932396538
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1255329173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014183",
            "telephone_number": "928-681-8742",
            "fax_number": "928-681-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30880 BECK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-926-0009",
            "fax_number": "248-926-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30880 Beck Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "48377",
            "country_code": "US",
            "telephone_number": "248-926-0009",
            "fax_number": "248-926-8972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DEBORAH",
        "middle_name": "RAYE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4710",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4103599",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Krpichak M.D. P.C.
• Marlon Benjamin
• Bennett Optometry LLC
• Abigail Bennett
• Brittany Bennett
• Dwight Bennett
• Melissa Janell Bennett
• Stacy Bennett
• Kristina Clara Benoit
• Destiny Benson

• Family Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.