Individual provider Active NPI

Michelle Bennett, MD

  • Obstetrics Physician
  • Norfolk, VA
National Provider Identifier
1467989079
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
0101231807 Issued in VA
Practice address
825 Fairfax Avenue
Suite 528
Norfolk, VA 23507-2012
Phone
(757) 446-7979
Fax
(757) 446-8907
NPI assigned
May 12, 2017
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 0101231807 VA Primary

Addresses

Primary practice location

825 Fairfax Avenue
Suite 528
Norfolk, VA 23507-2012

Mailing address

825 Fairfax Avenue
Suite 528
Norfolk, VA 23507-2012
Phone (757) 446-7979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BennetMR@evms.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231003002292 NY Practitioner - Obstetrics/Gynecology 5092103945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

97 Amity St
Brooklyn, NY 11201-6004
Phone (212) 598-6784

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231807VAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 14, 2023 Accepting new patients
New York University CurrentSince Aug 14, 2023 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients
Osu GYN & OB Consultants LLC PastSince Aug 1, 2021 Accepting new patients

Locations

70 Atlantic Ave
Fl 4
Brooklyn, NY 11201
Phone (646) 754-7914

1300 Avenue P
Brooklyn, NY 11229
Phone (718) 954-3800

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bennetmr@evms.edu
  • Direct secure messaging: mbennett598904@nyumc.direct-ci.com

Organizations & group practices 5

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 7

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1467989079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVENUE",
            "address_2": "SUITE 528",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072012",
            "telephone_number": "757-446-7979",
            "fax_number": "757-446-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVENUE",
            "address_2": "SUITE 528",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072012",
            "telephone_number": "757-446-7979",
            "fax_number": "757-446-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "VA",
            "license": "0101231807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BennetMR@evms.edu",
            "affiliation": "N",
            "address_1": "825 Fairfax Avenue",
            "address_2": "Suite 528",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235072012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.