Individual provider Active NPI

Benjamin Baines Mize, M.D.

  • Gynecologic Oncology Physician
  • Kalamazoo, MI
National Provider Identifier
1134354954
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
4301109498 Issued in MI
Practice address
200 N Park St
Kalamazoo, MI 49007-3731
Phone
(269) 382-2500
Fax
(269) 384-8617
NPI assigned
May 22, 2009
Last updated
Jun 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 269250 NY
Gynecologic Oncology Physician 207VX0201X 4301109498 MI Primary

Addresses

Primary practice location

200 N Park St
Kalamazoo, MI 49007-3731

Mailing address

200 N Park St
Kalamazoo, MI 49007-3731
Phone (269) 382-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160620000696 MI Practitioner - Gynecological Oncology 7719278936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

3175 W Professional Dr
Bay Regional Medical Center
Bay City, MI 48706-2823
Phone (989) 894-3278

4100 Beecher Rd
Suite a
Flint, MI 48532-3661
Phone (810) 342-3800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109498MIMDGynecologic Oncology Physician
269250NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
McLaren Flint CurrentSince Apr 1, 2022 Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Mar 1, 2021 Accepting new patients
West Michigan Cancer Center Medical Oncology CurrentSince May 6, 2016 Accepting new patients
McLaren Bay Region CurrentSince Mar 1, 2023 Accepting new patients
West Michigan Cancer Center CurrentSince May 6, 2016 Accepting new patients
McLaren Flint Current Accepting new patients
McLaren Bay Region CurrentSince Mar 1, 2023 Accepting new patients
McLaren Flint Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

3140 W Campus Dr
Bay City, MI 48706
Phone (989) 667-2370

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

4100 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 342-3800

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Organizations & group practices 10

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 2

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1134354954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073731",
            "telephone_number": "269-382-2500",
            "fax_number": "269-384-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073731",
            "telephone_number": "269-382-2500",
            "fax_number": "269-384-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "BENJAMIN",
        "middle_name": "BAINES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "269250",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "4301109498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.