DR. BENNETT HARRIS PENN (MD, PHD) – Infectious Disease Physician, NPI 1275715245

DR. BENNETT HARRIS PENN (MD, PHD) is a healthcare provider. based in Sacramento, California. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD, PHD. They hold a License No. A101621 (CA). The NPI Number for DR. BENNETT HARRIS PENN (MD, PHD) is 1275715245

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENNETT HARRIS PENN (MD, PHD)
NPI
1275715245
Phone
(916) 734-2111
Address
2315 STOCKTON BLVD # G101
Enumeration Date
3 December 2007
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9167347005
Graduation Year
2006 (20 years ago)
PAC ID
1153488655
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20090327000441
Address ID
CA958172307SA4860XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,003 INFECTIOUS DISEASE in CA

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Provider Addresses for DR. BENNETT HARRIS PENN (MD, PHD)

  • Stockton Boulevard, Sacramento, Sacramento County, California, 95823, United States

    SACRAMENTO, CA 958172201

    Phone: (916) 734-2111

    Type: Mailing

  • Ambulatory Care Center, 400, Parnassus Avenue, Cole Valley, San Francisco, California, 94117, United States

    ROOM A591, BOX 0359

    SAN FRANCISCO, CA 941432202

    Phone: (415) 353-2626

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090327000441IInfectious DiseaseCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4121$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456619View full group profile
NameSpecialtyState
Nurse PractitionerNY
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Family PracticeCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

Does DR. BENNETT HARRIS PENN (MD, PHD) have a public NPI I can cite?
Public records show DR. BENNETT HARRIS PENN (MD, PHD) under NPI 1275715245.
Should I treat DR. BENNETT HARRIS PENN (MD, PHD) as an active provider?
Patients and plans typically see DR. BENNETT HARRIS PENN (MD, PHD) as active in the national extract.
What services align with DR. BENNETT HARRIS PENN (MD, PHD)'s listing?
DR. BENNETT HARRIS PENN (MD, PHD)'s public classification highlights Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. BENNETT HARRIS PENN (MD, PHD)?
The directory associates DR. BENNETT HARRIS PENN (MD, PHD) with Sacramento, California. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. BENNETT HARRIS PENN (MD, PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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