Active NPI
Benjamin Jenny, M.D.
- Clinical Cardiac Electrophysiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 62485
- Practice address
- 6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749 - Phone
- (480) 835-6100
- Fax
- (480) 461-4243
- NPI assigned
- May 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10047477 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 62485 | AZ | Primary |
Addresses
Primary practice location
6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749
Mailing address
6343 E Main St Ste 12
Mesa, AZ 85205-8955
Phone (480) 835-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Medical College of Wisconsin, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6750 E Baywood Ave
Suite 301
Mesa, AZ 85206-1749
Phone (480) 835-6100
Hospital & facility affiliations
- Banner Desert Medical Center
- Chandler Regional Medical Center
- Banner Baywood Medical Center
- Banner Heart Hospital
- Banner Gateway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.24 of 100
- Quality
- 74.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 87 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10047477 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Cardiology Consultants, PC | Cardiovascular Disease | Current | Accepting new patients |
| Tri-City Cardiology Consultants, PC | Current | Accepting new patients |
Locations
1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295
143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140
6343 E Main St
Ste 12
Mesa, AZ 85205
1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100
6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100
6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- benjamin.jenny.p1@direct.tcc.nextgenshare.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Mesa, AZ
- NPI 1144288416
-
- Cardiac Rehabilitation Registered Nurse
- Mesa, AZ
- NPI 1689417636
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1629413828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6343 E MAIN ST STE 12",
"city": "MESA",
"state": "AZ",
"postal_code": "852058955",
"telephone_number": "480-835-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 E BAYWOOD AVE STE 301",
"city": "MESA",
"state": "AZ",
"postal_code": "852061749",
"telephone_number": "480-835-6100",
"fax_number": "480-461-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNY",
"first_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10047477",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "AZ",
"license": "62485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.