Individual provider Active NPI

Lavern K Bentt, M.D.

  • Anesthesiology Physician
  • Washington, DC
National Provider Identifier
1962440628
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
240118 Issued in NY
Practice address
2041 Georgia Ave NW Huh B105
Washington, DC 20060-2306
Phone
(202) 865-6100
Fax
(202) 865-6713
NPI assigned
Jun 3, 2006
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 240118 NY Primary

Addresses

Primary practice location

2041 Georgia Ave NW Huh B105
Washington, DC 20060-2306

Mailing address

7611 Maple Ave
#407
Takoma Park, MD 20912-5559
Phone (202) 378-3307

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240118NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chemung Medical Services PC Past Accepting new patients
Medical Faculty Associates, Inc Anesthesiology Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Upstate Medical Anesthesiology Group, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1962440628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 MAPLE AVE",
            "address_2": "#407",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125559",
            "telephone_number": "202-378-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW HUH B105",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200602306",
            "telephone_number": "202-865-6100",
            "fax_number": "202-865-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTT",
        "first_name": "LAVERN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "240118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.