JUSTIN DAVID BENNET MD PHD NPI 1134299308

NPI Information

  • NPI: 1134299308
  • Provider Name: JUSTIN DAVID BENNET, MD PHD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1505 SOQUEL DR
    SUITE12
    SANTA CRUZ, CA
    ZIP 95065
  • Phone: (831) 713-5050

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NPI Details

Justin David Bennet, MD PHD is a gastroenterology internal medicine in Santa Cruz, CA with 35 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Justin David Bennet, MD PHD NPI is 1134299308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1990

The provider's business location address is:

1505 SOQUEL DR
SUITE12
SANTA CRUZ, CA
ZIP 95065-716
Phone: (831) 713-5050
Fax: (831) 475-0101

The NPI 1134299308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 6/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0008XInternal MedicineHepatology0101840379VIRGINIANo
2207RG0100XInternal MedicineGastroenterology0101840379VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005847958MEDICAIDVIRGINIA
2721300MEDICARE ID-TYPE UNSPECIFIEDGROUP #
3G00454MEDICARE UPIN
4006468G00MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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