Active NPI
Benjamin Leonard Fortson, M.D.
- Pediatric Radiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 35.145137
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-2200
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 35.145137 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave
Cleveland, OH 44195-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731000893 | OH | Practitioner - Diagnostic Radiology | 8820486772 | Reassigns benefits to 3 organizations |
| I20240219003677 | LA | Practitioner - Diagnostic Radiology | 8820486772 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Washington School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Children'S HospitalCleveland Clinic
Practice addresses (Care Compare)
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic Medical Services Company | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Clinic Medical Services Company LLC | Pediatric Radiology | Current | Accepting new patients |
| Children'S Hospital | Pediatric Radiology | Current | Accepting new patients |
| Wooster Clinic, LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6100 W Creek Rd
Ste 35
Independence, OH 44131
Phone (212) 986-1666
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Cleveland, OH
- NPI 1528013984
OH, Pediatric Radiology
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Eyewear Supplier
- Avon Lake, OH
- NPI 1104334226
-
- Eyewear Supplier
- North Ridgeville, OH
- NPI 1245748300
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1265537179
-
- Clinic Pharmacy
- Strongsville, OH
- NPI 1295717593
-
- Eyewear Supplier
- Akron, OH
- NPI 1326175183
-
- Clinic Pharmacy
- Willoughby Hills, OH
- NPI 1346348091
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, OH
- NPI 1497882690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1063945756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTSON",
"first_name": "BENJAMIN",
"middle_name": "LEONARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "OH",
"license": "35.145137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.