DR. BENNETT BENITO DESADIER M.D. NPI 1972507879

NPI Information

  • NPI: 1972507879
  • Provider Name: DR. BENNETT BENITO DESADIER, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 2020 W 86TH ST
    STE 305
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 334-1692

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NPI Details

DR. Bennett Benito Desadier, M.D. is a specialist in Indianapolis, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Bennett Benito Desadier, M.D. NPI is 1972507879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2020 W 86TH ST
STE 305
INDIANAPOLIS, IN
ZIP 46260-931
Phone: (317) 334-1692
Fax: (317) 334-1693

The enumeration date for this NPI number is 6/8/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist024318INDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B28335MEDICARE UPININDIANA
2087100MEDICARE ID-TYPE UNSPECIFIEDINDIANA

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: 11/21/2025

NPI Synchronization or Removal

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