Individual provider Active NPI

Benjamin Paul Smith, M.D.

  • Family Medicine Physician
  • Ft Wright, KY
National Provider Identifier
1104234970
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58517 Issued in KY
Practice address
1955 Dixie Hwy Ste N
Ft Wright, KY 41011-2792
Phone
(859) 341-6255
Fax
(859) 547-1197
NPI assigned
Jul 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58517 KY Primary

Addresses

Primary practice location

1955 Dixie Hwy Ste N
Ft Wright, KY 41011-2792

Mailing address

2139 Auburn Avenue
Attn: Payor Enrollment 4-7
Cincinnati, OH 45219
Phone (513) 351-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230908001857 KY Practitioner - Family Practice 9537476684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christ Hospital Medical Associates, II LLC 24 clinicians
Powerback Rehabilitation LLC 600 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite N
Ft Wright, KY 41011-2792
Phone (859) 341-6255

3951 W Milham Ave
Portage, MI 49024-1088
Phone (269) 447-1689

Hospital & facility affiliations

  • St Elizabeth Home Care Home health agency, Florence, KY, CCN 187075
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58517KYMDFamily Medicine Physician
TP741KYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Associates II, LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Sep 17, 2023 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

1955 Dixie Hwy
Ste D
Ft Wright, KY 41011
Phone (859) 341-5757

1955 Dixie Hwy
Ste N
Ft Wright, KY 41011
Phone (513) 241-5489

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2139 Auburn Ave
#47
Cincinnati, OH 45219

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1104234970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVENUE",
            "address_2": "ATTN: PAYOR ENROLLMENT 4-7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-351-9900",
            "fax_number": "513-366-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HWY STE N",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112792",
            "telephone_number": "859-341-6255",
            "fax_number": "859-547-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "58517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.