NPIMap

Individual provider Active NPI

Benjamin Jenny, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Mesa, AZ
National Provider Identifier
1629413828
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
62485 Issued in AZ
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
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616003475 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7012317761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
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

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10047477TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

143 S 63rd St
Ste 100
Mesa, AZ 85206

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6343 E Main St
Ste 12
Mesa, AZ 85205

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206

Interoperability endpoints

  • Direct secure messaging: benjamin.jenny.p1@direct.tcc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.