Kandice Kristen Waul-Bennett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD459240 Issued in PA

Practice address

5831 Forward Ave Ste 1037
Pittsburgh, PA 15217-2301

Phone

(412) 446-8058

NPI assigned

Jun 15, 2013

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NY, FL3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kandice.waul-bennett.1@30520.direct.athenahealth.com

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.

• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• Wellbe Senior Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1255089132
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  PA

  Medicare reassignment NPD
• Kings Practice PLLC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1154191344
  NPD Authorized official
• Allegheny Clinic

  dba AHN Urology

  • Urology Physician
  • Pittsburgh, PA
  • NPI 1053747063
  NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1467891184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 FORWARD AVE STE 1037",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172301",
            "telephone_number": "412-446-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 FORWARD AVE STE 1037",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172301",
            "telephone_number": "412-446-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUL-BENNETT",
        "first_name": "KANDICE",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2024-01-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD459240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103374197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin L Watts, RN
• Tristan Lum Watts, DO
• Jacob Noah Waudby
• Lauren Waugaman Skonieczny
• Casey Waugh
• Mallory E Wauthier, D.O.
• Richard Alan Wawrose
• McKenzie Carrington Wax
• Evan Waxman
• Way Wellness Center

• Family Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.