Angela M Bennett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-088523 Issued in OH

Practice address

5264 Lee Rd
Maple Heights, OH 44137-1232

Phone

(216) 294-4440

Fax

(216) 249-6032

NPI assigned

May 31, 2005

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abennett36486@ehrdirect.uhhospitals.org
• Direct secure messaging: angelabennett@uhps.allscriptsdirect.net

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.

• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Dedicated Ohio Holding LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1922631019

  OH

  Medicare reassignment NPD
• Barry H Brooks MD & Associates Inc

  • Internal Medicine Physician
  • Cleveland Heights, OH
  • NPI 1871767491
  NPD (past)
• University Hospitals Regional Practices LLC

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1336602218

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1861495236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 LEE RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371232",
            "telephone_number": "216-294-4440",
            "fax_number": "216-249-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 LEE RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371232",
            "telephone_number": "216-294-4440",
            "fax_number": "216-249-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-088523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2719071",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4203042",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelabennett@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1611 S Green Rd",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelabennett@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "angelabennett@uhps.allscriptsdirect.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1611 S Green Rd",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Demetra Beard
• Jacqueline Marie Beard, D.M.D.
• Julie A Beard
• Tiayasha Patrice Bell, LPN
• Mary Bendella Benjamin, LPN
• Latonya Marie Bennett
• BHG Sunrise LLC
• Dunja Biggins
• Chania Blair
• Sherra Blair

• Family Medicine Physician in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.