Individual provider Active NPI

Benjamin Haberer, DPM

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1083290001
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.004143 Issued in OH
Practice address
8280 Montgomery Rd Ste 103
Cincinnati, OH 45236-6100
Phone
(513) 984-1911
Fax
(513) 984-1912
NPI assigned
Mar 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004143 OH
Podiatrist 213E00000X 36.004143 OH Primary

Addresses

Primary practice location

8280 Montgomery Rd Ste 103
Cincinnati, OH 45236-6100

Mailing address

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone (513) 489-2400

Other practice location 1

11821 Mason Montgomery Rd # 4B
Cincinnati, OH 45249-3705
Phone (513) 489-2400

Other practice location 2

7344 Hamilton Ave
Mount Healthy, OH 45231-4322
Phone (513) 489-2400

Other practice location 3

6770 Cincinnati Dayton Rd Ste 201
Liberty Township, OH 45044-9319
Phone (513) 489-2400

Other practice location 4

8111 Cheviot Rd Ste 100
Cincinnati, OH 45247-4013
Phone (513) 489-2400

Other identifiers 1

IdentifierTypeStateIssuer
0049360MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523004029 OH Practitioner - Podiatry 8022450873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
Choice Podiatry Associates IncGroup PAC ID 1153353040, 3 clinicians

Practice addresses (Care Compare)

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

7567 Central Parke Blvd
A
Mason, OH 45040-6852

8280 Montgomery Rd
Suite 103
Cincinnati, OH 45236-6100
Phone (513) 984-1911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of skin lesions12
Removal of nail tissue543
Removal or shaving of skin growth373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004143OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Podiatry Associates Inc Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Surestep Foot & Ankle Medical Center, LLC Podiatrist CurrentSince Jul 1, 2026 Accepting new patients
Choice Podiatry Associates Inc Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Choice Podiatry Associates Inc Podiatrist CurrentSince Dec 29, 2024 Accepting new patients
Surestep Foot & Ankle Medical Center LLC Foot & Ankle Surgery PastSince Jul 1, 2026 Accepting new patients

Locations

8280 Montgomery Rd
Ste 103
Cincinnati, OH 45236
Phone (513) 984-1911

11821 Mason Montgomery Rd
#4B
Cincinnati, OH 45249
Phone (513) 489-2400

4455 Bridgetown Rd
Cincinnati, OH 45211
Phone (513) 574-2424

11821 Mason Montgomery Rd
Ste 1
Cincinnati, OH 45249
Phone (513) 489-2400

7344 Hamilton Ave
Mount Healthy, OH 45231
Phone (513) 931-1043

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1083290001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 MASON MONTGOMERY RD # 4B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452493705",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 MONTGOMERY RD STE 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366100",
            "telephone_number": "513-984-1911",
            "fax_number": "513-984-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11821 Mason Montgomery Rd # 4B",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452493705",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7344 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Healthy",
            "state": "OH",
            "postal_code": "452314322",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6770 Cincinnati Dayton Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450449319",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8111 Cheviot Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452474013",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-21",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004143",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.004143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.