NPIMap

Individual provider Active NPI

Benjamin Joseph Salpietro Jr., M.D.

  • Orthopaedic Surgery Physician
  • Maumee, OH
National Provider Identifier
1285722280
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
62058 Issued in OH
Practice address
5755 Monclova Rd
Maumee, OH 43537-1837
Phone
(419) 893-2663
Fax
(419) 893-7240
NPI assigned
Oct 11, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 62058 OH Primary

Addresses

Primary practice location

5755 Monclova Rd
Maumee, OH 43537-1837

Mailing address

5755 Monclova Rd
Maumee, OH 43537-1837
Phone (419) 893-2663

Other identifiers 6

IdentifierTypeStateIssuer
000000231295OtherOHANTHEM
0459525MedicaidOH
200044049OtherOHCHAMPUS
200044049OtherOHRAILROAD MEDICARE
02411OtherOHPARAMOUNT
5672194OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080726000088 OH Practitioner - Orthopedic Surgery 2163327685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Ohio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1601 Brigham Dr
Suite 150
Perrysburg, OH 43551-7120
Phone (419) 872-7246

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement51
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62058OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jul 3, 2023 Accepting new patients
Promedica Central Physicians Orthopaedic Surgery CurrentSince Jul 3, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5705 Monclova Rd
Maumee, OH 43537
Phone (419) 893-3321

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

6005 Monclova Rd
Ste 110
Maumee, OH 43537
Phone (419) 893-2663

1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 794-7700

1620 Brigham Dr
Ste 210
Perrysburg, OH 43551

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2865 N Reynolds Rd
Bldg A
Toledo, OH 43615
Phone (419) 578-4200

2865 N Reynolds Rd
Ste 190
Toledo, OH 43615
Phone (419) 578-7500

Organizations & group practices 3

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 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1285722280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371837",
            "telephone_number": "419-893-2663",
            "fax_number": "419-893-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371837",
            "telephone_number": "419-893-2663",
            "fax_number": "419-893-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALPIETRO",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "62058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000231295",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459525",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "200044049",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200044049",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02411",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5672194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.