NPIMap

Individual provider Active NPI

Benjamin Ryan Biteman, M.D.

  • Surgery Physician
  • Warren, OH
National Provider Identifier
1336456391
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.124042 Issued in OH
Practice address
627 Eastland Ave SE
Ste 302
Warren, OH 44484-4501
Phone
(330) 841-4477
Fax
(330) 841-4505
NPI assigned
Sep 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 35.124042 OH Primary

Addresses

Primary practice location

627 Eastland Ave SE
Ste 302
Warren, OH 44484-4501

Mailing address

627 Eastland Ave SE
Ste 302
Warren, OH 44484-4501
Phone (330) 841-4477

Other identifiers 1

IdentifierTypeStateIssuer
0122553MedicaidOH

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
I20160829002350 OH Practitioner - General Surgery 7214243906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8423 Market St
Suite 205
Boardman, OH 44512-6778
Phone (330) 729-1937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Surgery CurrentSince Aug 22, 2016 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Surgery CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Aug 22, 2016 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

627 Eastland Ave SE
Ste 201
Warren, OH 44484
Phone (330) 841-4477

627 Eastland Ave SE
Ste 302
Warren, OH 44484
Phone (330) 841-4975

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

452 Broadway Ave
Youngstown, OH 44504
Phone (330) 480-2866

8423 Market St
Ste 205
Youngstown, OH 44512
Phone (330) 729-1937

Interoperability endpoints

  • Direct secure messaging: bbiteman16459@direct.bsmhealth.org

Organizations & group practices 5

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 5

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483228800000",
    "number": "1336456391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE",
            "address_2": "STE 302",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4477",
            "fax_number": "330-841-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE",
            "address_2": "STE 302",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4477",
            "fax_number": "330-841-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITEMAN",
        "first_name": "BENJAMIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2017-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.124042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122553",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.