Individual provider Active NPI

Benjamin Kravitz, PA-C

  • Physician Assistant
  • Berea, OH
National Provider Identifier
1346649399
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007513RX Issued in OH
Practice address
205 W Bagley Rd
Berea, OH 44017-1886
Phone
(440) 398-8018
NPI assigned
Aug 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007513RX OH Primary

Addresses

Primary practice location

205 W Bagley Rd
Berea, OH 44017-1886

Mailing address

1430 Oak CT Ste 100
Beavercreek, OH 45430-1064
Phone (937) 404-1101

Other practice location 1

2251 Tower Blvd
Lorain, OH 44053-2369
Phone (440) 787-2022

Other identifiers 1

IdentifierTypeStateIssuer
0010131MedicaidOH

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220623000629 OH Practitioner - Physician Assistant 5496977399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222

205 W Bagley Rd
Berea, OH 44017-1886
Phone (440) 398-8018

7715 W Ridgewood Dr
Parma, OH 44129-5553
Phone (440) 809-8132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jun 27, 2022 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Dec 9, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Jun 27, 2022 Accepting new patients
Quick Med Urgent Care LLC PastSince May 11, 2025 Accepting new patients

Locations

1430 Oak Ct
Ste 100
Beavercreek, OH 45430
Phone (937) 404-1101

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

2251 Tower Blvd
Lorain, OH 44053
Phone (440) 787-2022

7715 W Ridgewood Dr
Parma, OH 44129
Phone (440) 809-8132

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1346649399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 OAK CT STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301064",
            "telephone_number": "937-404-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171886",
            "telephone_number": "440-398-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440532369",
            "country_code": "US",
            "telephone_number": "440-787-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007513RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.