Individual provider Active NPI

Benjamin Martin Kotinsley, MD

  • Diagnostic Radiology Physician
  • Westlake, OH
National Provider Identifier
1104076330
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.124499 Issued in OH
Practice address
3299 Excalibur Ave
Westlake, OH 44145-6750
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.124499 OH Primary

Addresses

Primary practice location

3299 Excalibur Ave
Westlake, OH 44145-6750

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, OH, MI, MO, IL, TN, KY8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20130708000248 SC Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 6 organizations
I20140716000752 GA Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 2 organizations
I20140925002120 OH Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 12 organizations
I20210402000894 MI Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 1 organization
I20231020001936 MO Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 1 organization
I20231030000154 IL Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 1 organization
I20231116002028 TN Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 1 organization
I20251105003475 KY Practitioner - Diagnostic Radiology 0547400996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

Columbia, SC 29229
Phone (615) 312-0600

Cleveland, OH 44113
Phone (336) 274-6682

Westlake, OH 44145
Phone (708) 915-5671

Cincinnati, OH 45215
Phone (832) 422-9562

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1260 Smythe St
Daniel Island, SC 29492-8375
Phone (336) 274-6682

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587

3299 Excaliber Ave
Westlake, OH 44145
Phone 61421018851403

3299 Excalibur Ave
Westlake, OH 44145-6750
Phone (866) 722-1655

6 Millwright Dr
Hilton Head, SC 29926-1234
Phone (337) 439-4706

911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.124499OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donalsonville Hospital Inc CurrentSince Mar 11, 2019 Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince Aug 29, 2014 Accepting new patients
The Metrohealth System CurrentSince Aug 29, 2014 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Dec 30, 2020 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Hurley Medical Center Current Accepting new patients
Blessing Hospital CurrentSince Oct 1, 2023 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Feb 15, 2022 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Sep 5, 2020 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Oct 8, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 30, 2020 Accepting new patients
Blessing Hospital CurrentSince Oct 1, 2023 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Oct 22, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jul 14, 2014 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 17, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 22, 2025 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Jul 14, 2014 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Feb 15, 2021 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients

Locations (25 of 114)

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

710 Center St
Ste B
Columbus, GA 31901

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

100 Frist Ct
Ste B
Columbus, GA 31909

2131 Comer Ave
Columbus, GA 31904
Phone (706) 323-7622

1831 5th Ave
Ste B
Columbus, GA 31904

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

1050 Valdosta Hwy
#A
Homerville, GA 31634

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

2200 Vernon St
Lagrange, GA 30240

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 880-7204

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

75 Remittance Dr
Dept 1013
Chicago, IL 60675

1937 Momentum Pl
Chicago, IL 60689

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

1005 Broadway St
Quincy, IL 62301

2020 Meridian St
Anderson, IN 46016
Phone (317) 863-2593

2020 Meridian St
Ste 150
Anderson, IN 46016
Phone (765) 646-8663

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1104076330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 EXCALIBUR AVE",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456750",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTINSLEY",
        "first_name": "BENJAMIN",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.124499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.