Individual provider Active NPI

Daine Thompson Bennett, M.D.

  • Colon & Rectal Surgery Physician
  • Englewood, CO
National Provider Identifier
1679899660
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
0057147 Issued in CO
Practice address
401 W Hampden PL Ste 210
Englewood, CO 80110-2473
Phone
(303) 722-6960
Fax
(303) 722-0462
NPI assigned
Apr 15, 2010
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R7169 TX
Colon & Rectal Surgery Physician 208C00000X R7169 TX
Colon & Rectal Surgery Physician 208C00000X 0057147 CO Primary

Addresses

Primary practice location

401 W Hampden PL Ste 210
Englewood, CO 80110-2473

Mailing address

8490 E Crescent Pkwy Ste 380
Greenwood Village, CO 80111-2815
Phone (303) 957-1310

Other identifiers 1

IdentifierTypeStateIssuer
9000172477MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daine.bennett@surgone.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190726001913 CO Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 6800117805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surgone PCGroup PAC ID 9032002985, 39 clinicians

Practice addresses (Care Compare)

1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1255
Phone (303) 839-5669

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0057147COMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgone, PC Surgery Current Accepting new patients
Surgone, PC Surgery CurrentSince Sep 1, 2019 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1601 E 19th Ave
Ste 6300
Denver, CO 80218
Phone (303) 839-5669

2535 S Downing St
Ste 400
Denver, CO 80210
Phone (303) 788-8989

3333 S Bannock St
Ste 350
Englewood, CO 80110
Phone (303) 957-1310

401 W Hampden Pl
Ste 210
Englewood, CO 80110
Phone (303) 722-6960

8490 E Crescent Pkwy
Ste 380
Greenwood Village, CO 80111
Phone (303) 957-1310

10103 Ridgegate Pkwy
Ste 217
Lone Tree, CO 80124
Phone (303) 789-1877

Interoperability endpoints

  • Direct secure messaging: daine.bennett@surgone.directbygreenway.com

Organizations & group practices 3

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1679899660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 E CRESCENT PKWY STE 380",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112815",
            "telephone_number": "303-957-1310",
            "fax_number": "303-761-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL STE 210",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102473",
            "telephone_number": "303-722-6960",
            "fax_number": "303-722-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DAINE",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R7169",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "R7169",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CO",
            "license": "0057147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000172477",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daine.bennett@surgone.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 W Hampden Pl Ste 210",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801102473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.