MICHAEL ERNEST BENNETT (MD) – Neuroradiology Physician, NPI 1083698385
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for MICHAEL ERNEST BENNETT (MD)
3600 Minnesota Dr Ste 800
Edina, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
1746, Cole Blvd, Lakewood, Jefferson County, Colorado, 80401, United States
STE 150
LAKEWOOD, CO 804013267
Phone: (303) 914-8800
Type: Mailing
Brandt Andrew Jamroz, 938, Bannock Street, Golden Triangle, Denver, Denver County, Colorado, 80204, United States
STE. 300
DENVER, CO 802044028
Phone: (303) 914-8800
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: 2026-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070403000099 | I | Diagnostic Radiology | CO | TBD |
| I20251216003505 | I | Diagnostic Radiology | MI | TBD |
| I20260108002675 | I | Diagnostic Radiology | MT | TBD |
| I20260227002173 | I | Diagnostic Radiology | ME | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | SC | |
| - | SC | |
| - | MN | |
| - | MN | |
| Diagnostic Radiology | NY | |
| - | MN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology | SD |
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