Individual provider Active NPI

Cherie A Bennett, M.D.

  • Internal Medicine Physician
  • Logansport, IN
National Provider Identifier
1295715217
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01057933A Issued in IN
Practice address
1201 Michigan Ave
Suite 170
Logansport, IN 46947-1580
Phone
(574) 722-4331
NPI assigned
Jan 17, 2006
Sex
Female
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.

Hospital & facility affiliations 9

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Logansport Hospital Inc (41 clinicians)
Memorial Hospital (64 clinicians)

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-7541

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1585
Phone (574) 722-4331

Hospital & facility affiliations

  • Angels of Mercy Homecare Home health agency · Marion, IN · CCN 157554
  • Elara Caring Home health agency · Kokomo, IN · CCN 157586
  • Ascension at Home Home health agency · Pendleton, IN · CCN 157059
  • Guardian Angel Hospice Inc Hospice · Kokomo, IN · CCN 151577
  • Memorial Hospital Hospital · Logansport, IN · CCN 150072
  • Community Howard Regional Health Inc. Hospital · Kokomo, IN · CCN 150007
  • Woodbridge Health Campus Nursing home · Logansport, IN · CCN 155724
  • Miller'S Merry Manor Nursing home · Logansport, IN · CCN 155235
  • Chase Center Nursing home · Logansport, IN · CCN 155710

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040706000946 IN Practitioner - Internal Medicine 2567449754 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057933AINMDInternal Medicine Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01057933A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1580

Mailing address

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1580
Phone (574) 722-4331

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
000000300896OtherINANTHEM
200447360MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2011.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1295715217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE",
            "address_2": "SUITE 170",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471580",
            "telephone_number": "574-722-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE",
            "address_2": "SUITE 170",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471580",
            "telephone_number": "574-722-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHERIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01057933A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000300896",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.