Individual provider Active NPI

Benjamin Gier

  • Physician Assistant
  • Traverse City, MI
National Provider Identifier
1437528478
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10850 E Traverse Hwy
Ste 4400
Traverse City, MI 49684-1364
Phone
(231) 346-6807
NPI assigned
Sep 21, 2015
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 Primary

Addresses

Primary practice location

10850 E Traverse Hwy
Ste 4400
Traverse City, MI 49684-1364

Mailing address

10850 E Traverse Hwy
Ste 4400
Traverse City, MI 49684-1364
Phone (231) 346-6807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220412001923 CO Practitioner - Physician Assistant 3678881711 Reassigns benefits to 1 organization
I20240818000074 IL Practitioner - Physician Assistant 3678881711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Central Michigan College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

Practice addresses (Care Compare)

1415 W 47TH St
La Grange, IL 60525-6136
Phone (708) 765-3111

1550 N Northwest Hwy
Suite 300
Park Ridge, IL 60068-1475
Phone (847) 298-1831

1733 N Harlem Ave
Chicago, IL 60707-4305
Phone (773) 237-6666

1765 N Elston Ave
Suite 110
Chicago, IL 60642-1501
Phone (773) 276-1100

917 Remington Rd
Mattoon, IL 61938-4210
Phone (217) 205-3376

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC Physician Assistant CurrentSince Aug 1, 2024 Accepting new patients
Illinois Dermatology Institute, LLC CurrentSince Nov 1, 2025 Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients

Locations

1733 N Harlem Ave
Chicago, IL 60707
Phone (773) 237-6666

1765 N Elston Ave
Ste 110
Chicago, IL 60642
Phone (773) 276-1100

2622 Momentum Pl
Chicago, IL 60689

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

1550 N Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (847) 298-1831

9711 Skokie Blvd
Ste J
Skokie, IL 60077
Phone (847) 675-9711

1111 W Kenyon Rd
Urbana, IL 61801
Phone (217) 729-7650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1437528478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY",
            "address_2": "STE 4400",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841364",
            "telephone_number": "231-346-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY",
            "address_2": "STE 4400",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841364",
            "telephone_number": "231-346-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIER",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.