Active NPI
Richard M Bennett III, MD
- Urology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01042286A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100194370 | Other | IN | GROUP MEDICAID NUMBER |
| 200003540 | Medicaid | IN | |
| 000000091691 | Other | IN | ANTHEM PIN NUMBER |
| 1487680518 | Other | IN | GROUP NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Indiana, L.L.C. | Current | Accepting new patients | |
| Urology of Indiana L.L.C. | Urology | Current | 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
- 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.
-
- Customized Equipment (DME)
- Indianapolis, IN
- NPI 1740360379
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Customized Equipment (DME)
- Avon, IN
- NPI 1578961314
-
- Customized Equipment (DME)
- Crawfordsville, IN
- NPI 1740688589
-
- Customized Equipment (DME)
- Franklin, IN
- NPI 1003996638
-
- Customized Equipment (DME)
- Danville, IN
- NPI 1104906734
-
- Customized Equipment (DME)
- Greenfield, IN
- NPI 1275613804
-
- Customized Equipment (DME)
- Lebanon, IN
- NPI 1447342894
-
- Customized Equipment (DME)
- Mooresville, IN
- NPI 1487052221
-
- Customized Equipment (DME)
- Noblesville, IN
- NPI 1669552295
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.