Active NPI
Benjamin L Stivers, MD
- Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 57.017037
- Practice address
- 4777 E Galbraith Rd
Dept. of Surgery
Cincinnati, OH 45236-2725 - Phone
- (513) 686-5466
- Fax
- (513) 686-5469
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 57.017037 | OH | Primary |
Addresses
Primary practice location
4777 E Galbraith Rd
Dept. of Surgery
Cincinnati, OH 45236-2725
Mailing address
4777 E. Galbraith Road
Dept. of Surgery
Cincinnati, OH 45236
Phone (513) 686-5466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Louisville School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26 Oxford Way
Suite B
Somerset, KY 42503-2813
Phone (606) 425-4298
Hospital & facility affiliations
- Lake Cumberland Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.017037 | OH | MD | Surgery Physician |
| 47622 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Russell County Hospital | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Russell County Hospital | Current | Accepting new patients | |
| Russell County Hospital | Current | Accepting new patients | |
| Lake Cumberland Surgery Center LP | Past | Accepting new patients |
Locations
153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141
30 Medpark Square Dr
Ste 1
Somerset, KY 42503
Phone (606) 451-0485
30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644
26 Oxford Way
Ste B
Somerset, KY 42503
Phone (606) 425-4298
301 Langdon St
Somerset, KY 42503
Phone (606) 678-9688
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
- benjamin.stivers.1@21269.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
-
- Certified Registered Nurse Anesthetist
- Russell Springs, KY
- NPI 1437245842
-
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
-
- Family Medicine Physician
- Somerset, KY
- NPI 1437440054
-
- Rural Health Clinic/Center
- Russell Springs, KY
- NPI 1295245025
-
- Specialist
- Russell Springs, KY
- NPI 1902079023
-
- Ambulatory Surgical Clinic/Center
- Somerset, KY
- NPI 1720143779
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1447588009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 E. GALBRAITH ROAD",
"address_2": "DEPT. OF SURGERY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45236",
"telephone_number": "513-686-5466",
"fax_number": "513-686-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E GALBRAITH RD",
"address_2": "DEPT. OF SURGERY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362725",
"telephone_number": "513-686-5466",
"fax_number": "513-686-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "BENJAMIN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57.017037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.