Individual provider Active NPI

Richard H Bennett, MD

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1861446700
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD017871E Issued in PA
Practice address
5401 Old York Rd
Suite 405
Philadelphia, PA 19141-3046
Phone
(215) 324-3300
Fax
(215) 324-6150
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD017871E PA Primary

Addresses

Primary practice location

5401 Old York Rd
Suite 405
Philadelphia, PA 19141-3046

Mailing address

5401 Old York Rd
Suite 405
Philadelphia, PA 19141-3030
Phone (215) 324-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100816000824 PA Practitioner - Neurology 6204960016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katz-Bennett-Levin Neurology Associates, P.C.Group PAC ID 3375529571, 2 clinicians

Practice addresses (Care Compare)

261 Old York Rd
Suite 802
Jenkintown, PA 19046-3714
Phone (215) 379-4300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katz-Bennett-Levin Neurology Associates, P.C. Neurology CurrentSince May 8, 1979 Accepting new patients

Locations

50 Township Line Rd
Ste 101
Elkins Park, PA 19027
Phone (215) 379-4300

261 Old York Rd
Ste 802
Jenkintown, PA 19046
Phone (215) 379-4300

5401 Old York Rd
Ste 405
Philadelphia, PA 19141
Phone (215) 324-3300

Interoperability endpoints

  • Direct secure messaging: richard.bennett@direct.einstein.edu
  • Direct secure messaging: richard.bennett@trinityhealthny.medicity.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1861446700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "SUITE 405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-324-3300",
            "fax_number": "215-324-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "SUITE 405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413046",
            "telephone_number": "215-324-3300",
            "fax_number": "215-324-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD017871E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.