Individual provider Active NPI

Jennifer Bendl, DO

  • Family Medicine Physician
  • Darien, CT
National Provider Identifier
1548425952
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050010 Issued in CT
Practice address
1500 Post Road
2ND Floor
Darien, CT 06820-5935
Phone
(203) 655-8701
Fax
(203) 655-8948
NPI assigned
Jul 24, 2008
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050010 CT Primary

Addresses

Primary practice location

1500 Post Road
2ND Floor
Darien, CT 06820-5935

Mailing address

1500 Post Road
2ND Floor
Darien, CT 06820-5935
Phone (203) 655-8701

Other names 1

  • Dr. Jennifer Pilc Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110926000563 CT Practitioner - Family PracticePractitioner - Hospitalist 8628249596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1500 Post Rd
Suite 2
Darien, CT 06820-5936
Phone (203) 655-8701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050010CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Family Medicine CurrentSince Jul 25, 2011 Accepting new patients

Locations

1500 Post Rd
Ste 2
Darien, CT 06820
Phone (203) 655-8701

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

32 Strawberry Hill Ct
Fl 4
Stamford, CT 06902
Phone (203) 276-4255

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

90 Morgan St
Ste 105
Stamford, CT 06905
Phone (203) 276-2435

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA
  • Direct secure messaging: jbendl24511@stamfordhealth.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 2

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1548425952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 POST ROAD",
            "address_2": "2ND FLOOR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205935",
            "telephone_number": "203-655-8701",
            "fax_number": "203-655-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 POST ROAD",
            "address_2": "2ND FLOOR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205935",
            "telephone_number": "203-655-8701",
            "fax_number": "203-655-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "050010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PILC",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Darien, CT

Sources for this page

Verify at the official NPI Registry.