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DR. ILYA BENDICH MD NPI 1225419617


NPI Information

NPI: 1225419617
Provider Name: DR. ILYA BENDICH, MD
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
4921 PARKVIEW PL
DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 747-2551
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DR. Ilya Bendich, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Saint Louis, MO with 9 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Ilya Bendich, MD NPI is 1225419617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:2015

The provider's business location address is:

4921 PARKVIEW PL
DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 747-2551
Fax: (314) 747-2598

The NPI 1225419617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 4/25/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery2021033713MISSOURINo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery2021033713MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200103027MEDICAIDMISSOURI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.