Individual provider Active NPI

Kristen Bennett, MD

  • Pediatrics Physician
  • Geneva, NY
National Provider Identifier
1548622772
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
298440 Issued in NY
Practice address
200 North St Ste 101
Geneva, NY 14456
Phone
(315) 787-5100
Fax
(315) 787-5151
NPI assigned
Mar 26, 2016
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 298440 NY Primary

Addresses

Primary practice location

200 North St Ste 101
Geneva, NY 14456

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 787-5100

Other practice location 1

4401 Penn Ave
AOB Suite 5400
Pittsburgh, PA 15224-1334
Phone (412) 692-5258

Other practice location 2

207 1/2 Lake St
Penn Yan, NY 14527-1802
Phone (315) 536-3362

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbennett264534@direct.rochesterregional.org Direct

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
I20190723001232 NY Practitioner - Pediatric Medicine 9234465600 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 1, 2019 Accepting new patients
Western New York Medical Practice P.C. Pediatrics CurrentSince Aug 1, 2019 Accepting new patients
Rochester General Hospital Pediatrics Current Accepting new patients
Rochester General Hospital Pediatrics CurrentSince Aug 1, 2019 Accepting new patients

Locations

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

207 Lake St
#1-2
Penn Yan, NY 14527
Phone (315) 536-3362

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: kbennett264534@direct.rochesterregional.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1548622772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "315-787-5100",
            "fax_number": "315-787-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 101",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-787-5100",
            "fax_number": "315-787-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Penn Ave",
            "address_2": "AOB Suite 5400",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "412-692-5258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 1/2 Lake St",
            "address_purpose": "LOCATION",
            "city": "Penn Yan",
            "state": "NY",
            "postal_code": "145271802",
            "country_code": "US",
            "telephone_number": "315-536-3362",
            "fax_number": "315-536-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "298440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbennett264534@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 North St Ste 101",
            "city": "Geneva",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.