Individual provider Active NPI

Richard M Bennett III, MD

  • Urology Physician
  • Indianapolis, IN
National Provider Identifier
1891709663
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01042286A Issued in IN
Practice address
1270 N Post Rd Ste a
Indianapolis, IN 46219-4254
Phone
(317) 895-6095
Fax
(317) 895-6195
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01042286A IN Primary

Addresses

Primary practice location

1270 N Post Rd Ste a
Indianapolis, IN 46219-4254

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 807-1262

Other identifiers 4

IdentifierTypeStateIssuer
100194370OtherINGROUP MEDICAID NUMBER
200003540MedicaidIN
000000091691OtherINANTHEM PIN NUMBER
1487680518OtherINGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080519000502 IN Practitioner - Urology 6204749708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

1270 N Post Rd
A
Indianapolis, IN 46219-4209
Phone (317) 895-6095

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana, L.L.C. CurrentSince Jan 1, 2007 Accepting new patients
Urology of Indiana L.L.C. Urology CurrentSince Jan 1, 2007 Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Major Hospital Past Accepting new patients
Urology of Indiana, L.L.C. Urology Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L. C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C Past Accepting new patients
Urology of Indiana, LLC Past Accepting new patients

Locations

120 Avon Market Pl
Avon, IN 46123
Phone (877) 362-2778

13420 N Meridian St
Ste 270
Carmel, IN 46032
Phone (317) 338-6666

12188A N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 564-5100

14300 E 138th
Fishers, IN 46037
Phone (317) 813-1660

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

Interoperability endpoints

  • Direct secure messaging: urologyin@directaddress.net

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1891709663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1262",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N POST RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194254",
            "telephone_number": "317-895-6095",
            "fax_number": "317-895-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01042286A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "100194370",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003540",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000091691",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1270 N Post Rd Ste A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462194254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.