EDWARD S BENNETT MD PLLC
NPI 1770828162
Internal Medicine in Flushing, NY
About Edward S Bennett Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD S BENNETT MD PLLC (NPI 1770828162) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through December 18, 2026, maintains a secondary practice location in Flushing, and lists Edward Bennett, Provider And Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward S Bennett Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Edward S Bennett MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2159478
Edward S Bennett MD PLLC · Flushing, NYCertificate of Waiver 33D2193728
Edward S Bennett MD PLLC · Flushing, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward S Bennett MD PLLC's NPI number?
The NPI number for Edward S Bennett MD PLLC is 1770828162. It was assigned to this organization in the NPPES registry on December 11, 2012.
Where is Edward S Bennett MD PLLC located?
Edward S Bennett MD PLLC is located at 13912 73rd Ter, Flushing, NY 11367. The listed phone number is (646) 623-3350.
What is Edward S Bennett MD PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edward S Bennett MD PLLC enrolled in Medicare?
Yes. Edward S Bennett MD PLLC is registered in the Medicare PECOS enrollment system.
When is Edward S Bennett MD PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Edward S Bennett MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Edward S Bennett MD PLLC, in Internal Medicine and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Edward S Bennett MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2159478) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edward S Bennett MD PLLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edward S Bennett Md Pllc · NPI 1770828162
Internal Medicine organization in Flushing, New York. Organization record, active in the CMS NPPES registry since December 11, 2012.
## Identity
- **NPI:** 1770828162 (Entity type: Organization)
- **Enumerated:** December 11, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Edward Bennett, PROVIDER AND OWNER
## Practice location
- **Address:** 13912 73RD TER, Flushing, NY 11367-2306
- **Phone:** (646) 623-3350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Pediatric Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770828162) · Data from the CMS NPPES public registry.