Active NPI
Edmond A. Bendaly, M.D.
- Hematology & Oncology Physician
- Marion, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- P51816
- Practice address
- 831 Theatre Drive
Marion, IN 46952-1701 - Phone
- (765) 660-7800
- Fax
- (765) 662-4470
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Rehabilitation Hospital Unit
- Marion, IN
- NPI 1114013646
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marion General Hospital
Practice addresses (Care Compare)
831 N Theatre Dr
Marion, IN 46952-1701
Phone (765) 660-7800
Hospital & facility affiliations
- Marion General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.59
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090807000211 | IN | Practitioner - Hematology/Oncology | 8426101528 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P51816 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion General Hospital | Current | Accepting new patients | |
| Marion General Hospital | Current | Accepting new patients |
Locations
911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000
4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840
330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
831 N Theatre Dr
Marion, IN 46952
Phone (765) 660-7800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | P51816 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
831 Theatre Drive
Marion, IN 46952-1701
Mailing address
330 North Wabash
Suite G20
Marion, IN 46952-2600
Phone (765) 662-4133
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000620997 | Other | IN | ANTHEM |
| 200948330 | Medicaid | IN |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edmond.bendaly@mgh.eclinicaldirectplus.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2020.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1285835652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 NORTH WABASH",
"address_2": "SUITE G20",
"city": "MARION",
"state": "IN",
"postal_code": "469522600",
"telephone_number": "765-662-4133",
"fax_number": "765-651-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 THEATRE DRIVE",
"city": "MARION",
"state": "IN",
"postal_code": "469521701",
"telephone_number": "765-660-7800",
"fax_number": "765-662-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDALY",
"first_name": "EDMOND",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "P51816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000620997",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200948330",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edmond.bendaly@mgh.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "831 Theatre Drive",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469521701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.