NPIMap

Individual provider Active NPI

Berkley H Benneson, MD

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1871586362
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9446 Issued in AZ
Practice address
3099 N Civic Center PLZ
Scottsdale, AZ 85251-6903
Phone
(480) 945-3535
Fax
(480) 994-8179
NPI assigned
Aug 30, 2005
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9446 AZ Primary

Addresses

Primary practice location

3099 N Civic Center PLZ
Scottsdale, AZ 85251-6903

Mailing address

3099 N Civic Center PLZ
Scottsdale, AZ 85251-6903
Phone (480) 945-3535

Other identifiers 1

IdentifierTypeStateIssuer
231530MedicaidAZ

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
I20070419000540 AZ Practitioner - Cardiovascular Disease (Cardiology) 8426153404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arizona College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 2030
Phoenix, AZ 85020-2407
Phone (602) 786-0200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince Apr 15, 2010 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Internal Medicine Current Accepting new patients
Honorhealth CurrentSince Apr 15, 2010 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 18, 2021 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Jan 18, 2021 Accepting new patients
Heartcare PC Cardiovascular Disease Past Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9250 N 3rd St
Ste 2030
Phoenix, AZ 85020
Phone (602) 264-7273

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3099 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 945-3535

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

Interoperability endpoints

  • Direct secure messaging: bbenneson104479@direct.honorhealth.com

Organizations & group practices 8

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1871586362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516903",
            "telephone_number": "480-945-3535",
            "fax_number": "480-994-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516903",
            "telephone_number": "480-945-3535",
            "fax_number": "480-994-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNESON",
        "first_name": "BERKLEY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "9446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231530",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.