NPIMap

Individual provider Active NPI

Benjamin Edward Ball, D.O.

  • Internal Medicine Physician
  • Bellevue, OH
National Provider Identifier
1083637730
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-00-4957 Issued in OH
Practice address
1255 W Main St
Ste a
Bellevue, OH 44811-9015
Phone
(419) 483-7240
Fax
(419) 483-2543
NPI assigned
Jul 25, 2006
Last updated
Aug 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-00-4957 OH Primary

Addresses

Primary practice location

1255 W Main St
Ste a
Bellevue, OH 44811-9015

Mailing address

1255 W Main St
Ste a
Bellevue, OH 44811-9015
Phone (419) 483-7240

Other identifiers 1

IdentifierTypeStateIssuer
0804044MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000591 OH Practitioner - Internal Medicine 5193756518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1255 W Main St
Suite a
Bellevue, OH 44811-9112
Phone (419) 483-7240

703 Tyler St
Sandusky, OH 44870-3391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4957OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jan 1, 2022 Accepting new patients
North Coast Professional Company, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

1255 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-7240

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

1400 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-2494

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: benjamin.ball@fpg.medicity.net
  • Direct secure messaging: benjaminball@bpsoh.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1083637730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST",
            "address_2": "STE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119015",
            "telephone_number": "419-483-7240",
            "fax_number": "419-483-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST",
            "address_2": "STE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119015",
            "telephone_number": "419-483-7240",
            "fax_number": "419-483-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "BENJAMIN",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-4957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, OH

Sources for this page

Verify at the official NPI Registry.