Individual provider Active NPI

Benjamin L Stivers, MD

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1447588009
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
57.017037 Issued in OH
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

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140926000523 KY Practitioner - General Surgery 1951521939 Reassigns benefits to 2 organizations

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
Lake Cumberland Physician Practices LLCGroup PAC ID 2567510464, 47 clinicians

Practice addresses (Care Compare)

26 Oxford Way
Suite B
Somerset, KY 42503-2813
Phone (606) 425-4298

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.017037OHMDSurgery Physician
47622KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Russell County Hospital CurrentSince Feb 1, 2016 Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Russell County Hospital CurrentSince Feb 1, 2016 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

  • FHIR API: https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.