Individual provider Active NPI

Bennet Grad, DPM

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1497781397
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-2171-G Issued in OH
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

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

655 Metro PL S
Suite 600
Dublin, OH 43017-3394
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1285
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jul 6, 2021 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.

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": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.