Individual provider Active NPI

Ben Seagren

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1407233364
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.136885 Issued in OH
Practice address
1160 W Broad St
Columbus, OH 43222-1352
Phone
(614) 274-1455
Fax
(614) 274-1433
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 35.136885 OH
Family Medicine Physician 207Q00000X 35.136885 OH Primary

Addresses

Primary practice location

1160 W Broad St
Columbus, OH 43222-1352

Mailing address

1160 W Broad St
Columbus, OH 43222-1352
Phone (614) 274-1455

Other practice location 1

6000 Cooper Rd
Westerville, OH 43081-8984
Phone (614) 274-1455

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107002994 OH Practitioner - Family Practice 2264736768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Nov 13, 2023 Accepting new patients
Lower Lights Christian Health Center, Inc. CurrentSince Nov 16, 2019 Accepting new patients
Lower Lights Christian Health Center Inc CurrentSince Nov 16, 2019 Accepting new patients
Lower Lights Christian Health Center, Inc. Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Union County Physician Corporation Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Past Accepting new patients

Locations

L3957
Columbus, OH 43260

1160 W Broad St
Columbus, OH 43222
Phone (614) 947-7615

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361

Organizations & group practices 11

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1407233364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818984",
            "country_code": "US",
            "telephone_number": "614-274-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAGREN",
        "first_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.136885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.136885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.