Individual provider Active NPI

Elizabeth Germinder Bennett, M.D.

  • Surgery Physician
  • Merriam, KS
National Provider Identifier
1396988879
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-45161 Issued in KS
Practice address
7450 Kessler St Ste 201
Merriam, KS 66204-2553
Phone
(913) 632-9200
Fax
(913) 632-9209
NPI assigned
Apr 13, 2009
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2017039602 MO
Surgery Physician 208600000X 04-45161 KS Primary

Addresses

Primary practice location

7450 Kessler St Ste 201
Merriam, KS 66204-2553

Mailing address

7450 Kessler St Ste 201
Merriam, KS 66204-2553
Phone (913) 632-9200

Other names 1

  • Elizabeth Nicole Germinder Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103000384 KS Practitioner - General Surgery 5092936872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7820 W 165TH St
Ahmg OB Hospitalists at South Overland Park
Overland Park, KS 66223-2925
Phone (913) 373-2000

9100 W 74TH St
Merriam, KS 66204-4004

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-45161KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

7450 Kessler St
Ste 201
Shawnee Msn, KS 66204
Phone (913) 632-9100

Interoperability endpoints

  • Direct secure messaging: ebennett661017@adventhealth.direct-ci.com

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 3

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1396988879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 201",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042553",
            "telephone_number": "913-632-9200",
            "fax_number": "913-632-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 201",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042553",
            "telephone_number": "913-632-9200",
            "fax_number": "913-632-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ELIZABETH",
        "middle_name": "GERMINDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2017039602",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-45161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GERMINDER",
            "middle_name": "NICOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.