NPIMap

Individual provider Active NPI

Victor D Bentinganan Jr., DO

  • Family Medicine Physician
  • Otterbein, IN
National Provider Identifier
1306814538
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002841A Issued in IN
Practice address
407 N Meadow St
Otterbein, IN 47970-0398
Phone
(765) 448-8000
Fax
(574) 583-2444
NPI assigned
Mar 14, 2006
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002841A IN Primary

Addresses

Primary practice location

407 N Meadow St
Otterbein, IN 47970-0398

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988

Other identifiers 4

IdentifierTypeStateIssuer
000000352596OtherINANTHEM PROVIDER NUMBER
200502560MedicaidIN
10893408OtherINCAQH NUMBER
9396836OtherINPHCS PID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bentingv@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000538 IN Practitioner - Family Practice 0042268724 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Arnett Clinic LLCGroup PAC ID 0749184380, 401 clinicians
Thomas Li Consulting LLCGroup PAC ID 0143619908, 7 clinicians

Practice addresses (Care Compare)

1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000

2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000

427 Main St
Suite 210
Lafayette, IN 47901-1369
Phone (765) 413-2831

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Nov 5, 2024 Accepting new patients
Thomas Li Consulting LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Arnett Clinic, LLC Family Medicine CurrentSince Jan 5, 2005 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Arnett Clinic, LLC CurrentSince Jan 5, 2005 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1 Walter Scholer Dr
Lafayette, IN 47909
Phone (765) 838-6510

2600 Greenbush St
Lafayette, IN 47904

427 Main St
Lafayette, IN 47901
Phone (765) 413-2831

427 Main St
Ste 210
Lafayette, IN 47901
Phone (765) 404-8099

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

407 N Meadow St
Otterbein, IN 47970
Phone (765) 583-4415

253 Sagamore Pkwy W
West Lafayette, IN 47906

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Interoperability endpoints

  • Direct secure messaging: bentingv@direct.iuhealth.org
  • FHIR API: https://api.platform.athenahealth.com/25124/brand/1/csg/1/fhir/r4
  • Direct secure messaging: victor.bentinganan.1@25124.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage HealthcareWest Lafayette, IN, CCN 155402 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2021
Dec 1, 2021
Select HospiceWest Lafayette, IN, CCN 151615 Hospice Contracted Managing Employee Apr 28, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1306814538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N MEADOW ST",
            "city": "OTTERBEIN",
            "state": "IN",
            "postal_code": "479700398",
            "telephone_number": "765-448-8000",
            "fax_number": "574-583-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTINGANAN",
        "first_name": "VICTOR",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002841A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000352596",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200502560",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "10893408",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PID NUMBER",
            "identifier": "9396836",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bentingv@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "407 N Meadow St",
            "city": "Otterbein",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479700398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Otterbein, IN

Sources for this page

Verify at the official NPI Registry.