NPIMap

Individual provider Active NPI

Ashley W Bennett, MD

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1326252545
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
102881 Issued in MO
Practice address
1070 N Curtis Rd Ste 270
Boise, ID 83706-1248
Phone
(304) 617-1511
NPI assigned
May 9, 2007
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 102881 MO
Surgery Physician 208600000X 102881 MO Primary
Surgical Critical Care Physician 2086S0102X MC-0858 ID

Addresses

Primary practice location

1070 N Curtis Rd Ste 270
Boise, ID 83706-1248

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

3800 S National Ave Ste 600
Springfield, MO 65807-5249
Phone (417) 875-3000

Other practice location 2

4801 College Blvd
Leawood, KS 66211-1628
Phone (913) 721-3387

Other practice location 3

1600 Medical Center Dr
Huntington, WV 25701-3656
Phone (304) 691-1200

Other identifiers 1

IdentifierTypeStateIssuer
2021049262MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, ID, KS3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121115000312 MO Practitioner - General SurgeryPractitioner - Emergency Medicine 8921296690 Reassigns benefits to 2 organizations
I20210506003133 ID Practitioner - General Surgery 8921296690 Reassigns benefits to 3 organizations
I20231016000997 KS Practitioner - General Surgery 8921296690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Surgical Associates LLCGroup PAC ID 8527588508, 2 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1070 N Curtis Rd
Suite 270
Boise, ID 83706-1248
Phone (304) 617-1511

335 NW N Shore Dr
Lake Waukomis, MO 64151-1455
Phone (913) 593-9491

4606 W 87TH Ter
Prairie Village, KS 66207-1922
Phone (913) 593-9491

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102881MOMDEmergency Medicine Physician
MC-0858IDMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Surgical Associates LLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
Treasure Valley Vein and Wound Center LLC Surgery CurrentSince Apr 20, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Mercy Clinic Trauma and General Surgery, LLC CurrentSince Jan 5, 2022 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince May 1, 2021 Accepting new patients
JH Medical Services LLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
Wound Recovery Institute Surgery CurrentSince Jun 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince May 1, 2021 Accepting new patients
Vitality Health Surgery PastSince Dec 17, 2023 Accepting new patients
Deep South Emergency Physicians LLC Emergency Medicine Past Accepting new patients
SE Mississippi Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Hospitalmd of Troy Ip, Inc. Past Accepting new patients
Hospitalmd of Troy, Inc. Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1070 N Curtis Rd
Ste 270
Boise, ID 83706
Phone (304) 617-1511

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

10557 W Carlton Bay Dr
Ste 106
Garden City, ID 83714
Phone (304) 617-1511

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3965 W 83rd St
Prairie Vlg, KS 66208
Phone (913) 258-5322

621 S New Ballas Rd
Ste 560A
Saint Louis, MO 63141
Phone (314) 251-6440

Interoperability endpoints

  • Direct secure messaging: abennett1563182@direct.trinity-health.org
  • Direct secure messaging: ashley.bennett@hca2.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1326252545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS RD STE 270",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061248",
            "telephone_number": "304-617-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075249",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111628",
            "country_code": "US",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013656",
            "country_code": "US",
            "telephone_number": "304-691-1200",
            "fax_number": "304-691-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ASHLEY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "102881",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "102881",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "ID",
            "license": "MC-0858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021049262",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.