Individual provider Active NPI

Bennett Terrence So, M.D.

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1558349381
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054488 Issued in MD
Practice address
8317 Cherry LN
Laurel, MD 20707-4830
Phone
(301) 776-0070
Fax
(301) 725-7817
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0054488 MD Primary

Addresses

Primary practice location

8317 Cherry LN
Laurel, MD 20707-4830

Mailing address

8317 Cherry LN
Laurel, MD 20707-4830
Phone (301) 776-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070502000622 MD Practitioner - HospitalistPractitioner - Internal Medicine 4385740679 Reassigns benefits to 2 organizations
I20210728002592 DC Practitioner - Hospitalist 4385740679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 884-4644

Hospital & facility affiliations

  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054488MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Anne Arundel LLC CurrentSince May 5, 2012 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Union Memorial Hospital Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

5450 Knoll North Dr
Ste 250
Columbia, MD 21045
Phone (410) 964-6200

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: bennettso@cmpmd.allscriptsdirect.net
  • Direct secure messaging: bso257110@direct.hopkinsmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1558349381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074830",
            "telephone_number": "301-776-0070",
            "fax_number": "301-725-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074830",
            "telephone_number": "301-776-0070",
            "fax_number": "301-725-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "BENNETT",
        "middle_name": "TERRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.