Ian Moore Bennett, MD PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60572230 Issued in PA

Practice address

314 NE Thornton PL
Seattle, WA 98125-9000

Phone

(206) 520-2300

NPI assigned

Jun 18, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as apm

Quality

74.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Association of University Physicians

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1023041159

  Family Medicine

  Medicare reassignment Care Compare group NPD
• County of Solano

  • Public Health or Welfare Agency
  • Fairfield, CA
  • NPI 1508072588
  Medicare reassignment NPD
• County of Solano

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1083845275
  NPD
• County of Solano

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1558573873
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366686248
  Care Compare affiliation

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1992740518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NE THORNTON PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981259000",
            "telephone_number": "206-520-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "IAN",
        "middle_name": "MOORE",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD60572230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992740518",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Elizabeth Bennett, PA-C
• Clifford Bennett
• David Scott Bennett, LMHC
• Forrest Curtiss Bennett
• Gerald Eric Bennett, SOCIAL WORKER
• James Toliver Bennett Jr., M.D., PH.D.
• Jeffrey Paul Bennett, DDS, MSD
• Jennifer Lynn Bennett, N.D., EAMP
• John Forrest Bennett, ARNP
• Joshua Bennett, COTA/L

• Family Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.

Verify at the official NPI Registry.