Benjamin S Prestegaard, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34006978 Issued in OH

Practice address

401 Devon PL
Suite 215
Kent, OH 44240-6482

Phone

(330) 673-9510

Fax

(330) 673-8204

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bprestegaard36966@ehrdirect.uhhospitals.org

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.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment NPD
• Robinson Memorial Portage County Hospital

  • General Acute Care Hospital
  • Ravenna, OH
  • NPI 1063457901
  NPD
• University Primary Care Practices Inc

  dba Uhmp

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098

  Family Medicine

  NPD
• University Primary Care Practices Inc

  dba Center for Orthopedics

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1205904075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DEVON PL",
            "address_2": "SUITE 215",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406482",
            "telephone_number": "330-673-9510",
            "fax_number": "330-673-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DEVON PL",
            "address_2": "SUITE 215",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406482",
            "telephone_number": "330-673-9510",
            "fax_number": "330-673-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTEGAARD",
        "first_name": "BENJAMIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185684",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjaminprestegaard@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "401 Devon Pl",
            "address_2": "Suite 215",
            "city": "Kent",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442406482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lasheda Powell
• Stephanie Nichole Powell, CT
• Michael P Powers, DDS
• Premier Care of Ohio, LLC (Community Medical Services Kent)
• Premier Care of Ohio, LLC (Community Medical Services Kent)
• Charlotte Anne Price, RPH
• Renny Pride
• Primary Care Assoc of N
• Primecare Health & Support Services LLC
• Professional Dental Alliance

• Family Medicine Physician in Kent, OH
• Providers in Kent, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.