Active NPI
Bennet Grad, DPM
- Podiatrist
- Cincinnati, OH
National Provider Identifier
1497781397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-00-2171-G
- Practice address
- 11584 Symmes Gate LN
Cincinnati, OH 45249-2011 - Phone
- (513) 227-2366
- Fax
- (513) 489-7486
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-00-2171-G | OH | Primary |
Addresses
Primary practice location
11584 Symmes Gate LN
Cincinnati, OH 45249-2011
Mailing address
11584 Symmes Gate LN
Cincinnati, OH 45249-2011
Phone (513) 489-7486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040308000209 | OH | Practitioner - Podiatry | 3577451095 |
Reassigns benefits to 1 organization Practice locations: West Chester, OH |
| I20210111003021 | KY | Practitioner - Podiatry | 3577451095 |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthdrive Podiatry Group PC
Practice addresses (Care Compare)
655 Metro PL S
Suite 600
Dublin, OH 43017-3394
Phone (888) 964-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1285 |
| Removal or shaving of skin growth | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
| Universal Medical Administration | Podiatrist | Past | Accepting new patients |
| Dr Daniel J. Kroger | Past | Accepting new patients | |
| Seniorwell Pod of Missouri LLC | Podiatrist | Past | Accepting new patients |
Locations
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578
Organizations & group practices 12
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.
-
- Podiatrist
- Princeton, NJ
- NPI 1013106533
-
- Podiatrist
- Dobbs Ferry, NY
- NPI 1326251026
-
- Podiatrist
- Columbia, MD
- NPI 1548685258
-
- Podiatrist
- Newtown, PA
- NPI 1619905114
-
- Podiatrist
- Brookfield, WI
- NPI 1679504427
-
- Podiatrist
- Middletown, CT
- NPI 1770514101
-
- Podiatrist
- Framingham, MA
- NPI 1831388354
-
- Podiatrist
- Framingham, MA
- NPI 1851580377
-
- Optometrist
- West Chester, OH
- NPI 1588808331
-
- Podiatrist
- Cleveland, OH
- NPI 1669412201
-
- Podiatrist
- Saint Louis, MO
- NPI 1831689843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1497781397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11584 SYMMES GATE LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492011",
"telephone_number": "513-489-7486",
"fax_number": "513-227-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11584 SYMMES GATE LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492011",
"telephone_number": "513-227-2366",
"fax_number": "513-489-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAD",
"first_name": "BENNET",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-00-2171-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.