DR. KAWANDUS L BENNETT (MD) – Internal Medicine Physician, NPI 1912945718

DR. KAWANDUS L BENNETT (MD) is a healthcare provider. based in Olympia, Washington. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD61423976 (WA). The NPI Number for DR. KAWANDUS L BENNETT (MD) is 1912945718

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAWANDUS L BENNETT (MD)
NPI
1912945718
Phone
(360) 491-9480
Address
413 LILLY RD NE
Enumeration Date
3 June 2006
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604934083
Graduation Year
2018 (8 years ago)
PAC ID
4688682115
Group Practice PAC ID
6709782600
Professional Enrollment ID
I20231005001994
Address ID
WA985065133OL413XXNEXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:20State licenses:1Other names

1,188 HOSPITALIST in WA

Provider Addresses for DR. KAWANDUS L BENNETT (MD)

  • 413 LILLY RD NE

    OLYMPIA, WA 985065166

    Phone: (360) 491-9480

    Fax: (360) 456-2413

    Type: Mailing

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

  • 20201, Crawford Avenue, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States

    OLYMPIA FIELDS, IL 604611010

    Phone: (708) 747-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2023-01-20 • Largest payer in this snapshot: ABIOMED ($58).

Total Amount

$58

General + Research + Ownership

Payments

2

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$58
View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-05

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
I20231005001994IInternal MedicineWATBD

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 minutes14363$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5631$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3322$0
99239Hospital discharge day management, more than 30 minutes3030$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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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: 6709782600View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
Gynecological Oncology, Obstetrics/GynecologyCA
-OR
Certified Nurse Midwife (Cnm)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA
Physician AssistantWA
Mental Health CounselorWA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

How do I look up DR. KAWANDUS L BENNETT (MD) by NPI?
Use NPI 1912945718 when you need to reference DR. KAWANDUS L BENNETT (MD) in forms, claims, or directories.
Is DR. KAWANDUS L BENNETT (MD) currently active in the NPI registry?
CMS-published data lists DR. KAWANDUS L BENNETT (MD) as an active registrant.
Does DR. KAWANDUS L BENNETT (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. KAWANDUS L BENNETT (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KAWANDUS L BENNETT (MD)?
The page summarizes Olympia, Washington for DR. KAWANDUS L BENNETT (MD); expand the address list for detail.
What if Olympia, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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