Benjamin Hartger, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Wyoming, MI
NPI 1104347178 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1104347178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 5901002701 (MI)
- Practice address
- 1621 44TH St SW Ste 500
Wyoming, MI 49509-7200 - Phone
- (616) 538-4442
- Fax
- (616) 538-4843
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- James E Dewitt DPM PC
Practice addresses (Care Compare)
1621 44TH St SW
Suite 500
Wyoming, MI 49509-7200
Phone (616) 538-4442
Hospital & facility affiliations
- University of Michigan Health - West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 108 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 368 |
| Removal or shaving of skin growth | 115 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200610001357 | MI | Practitioner - Podiatry | 8820368921 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002701 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Grand Haven Hospital | Current |
Accepting new patients | |
| Advanced Foot and Ankle Associates, PC | Podiatrist | Current |
Accepting new patients |
| Robbi a Young DPM PC | Podiatrist | Current |
Accepting new patients |
Locations
600 Park Ave
Ste 3
Grand Haven, MI 49417
Phone (616) 846-3400
1445 Sheldon Rd
Ste 104
Grand Haven, MI 49417
Phone (616) 842-5193
1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600
1621 44th St SW
Ste 500
Wyoming, MI 49509
Phone (616) 538-4442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901002701 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002701 | MI | Yes |
Addresses
Primary practice location
1621 44TH St SW Ste 500
Wyoming, MI 49509-7200
Mailing address
1621 44TH St SW Ste 500
Wyoming, MI 49509-7200
Phone (616) 538-4442
NPI Registry JSON
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1104347178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 44TH ST SW STE 500",
"city": "WYOMING",
"state": "MI",
"postal_code": "495097200",
"telephone_number": "616-538-4442",
"fax_number": "616-538-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 44TH ST SW STE 500",
"city": "WYOMING",
"state": "MI",
"postal_code": "495097200",
"telephone_number": "616-538-4442",
"fax_number": "616-538-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTGER",
"first_name": "BENJAMIN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002701",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
- Amy Michelle Harris
- Kelly Harris
- Olga T Harris
- Courtney Hart
- Rhianna Hart
- Todd Hartgerink
- Lauren Patricia Hartman
- Lori Haselden
- Ammar Zahid Hassan
- Hamza Zahid Hassan
All providers in Wyoming, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.