NPIMap

Individual provider Active NPI

David M Bennett, MD

  • Nephrology Physician
  • Trumbull, CT
National Provider Identifier
1326337940
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
55084 Issued in CT
Practice address
7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone
(203) 335-0195
Fax
(203) 335-7293
NPI assigned
Apr 4, 2011
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55084 CT
Nephrology Physician 207RN0300X 55084 CT Primary

Addresses

Primary practice location

7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763

Mailing address

7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone (203) 335-0195

Other identifiers 1

IdentifierTypeStateIssuer
1326337940MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160830002811 CT Practitioner - Nephrology 9335435338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Nephrology Associates PCGroup PAC ID 4981590627, 10 clinicians

Practice addresses (Care Compare)

7 Cambridge Dr
Suite 201
Trumbull, CT 06611-4763
Phone (203) 335-0195

900 Madison Ave
Suite 209
Bridgeport, CT 06606-5534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55084CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Nephrology CurrentSince Sep 6, 2016 Accepting new patients

Locations

900 Madison Ave
Ste 209
Bridgeport, CT 06606
Phone (203) 335-0195

7 Cambridge Dr
Ste 201
Trumbull, CT 06611
Phone (203) 335-0195

Organizations & group practices 1

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 10

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1326337940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE DR STE 201",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114763",
            "telephone_number": "203-335-0195",
            "fax_number": "203-335-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE DR STE 201",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114763",
            "telephone_number": "203-335-0195",
            "fax_number": "203-335-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "55084",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "55084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326337940",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.