Individual provider Active NPI

Benjamin J Martin, MD

  • Urology Physician
  • Gahanna, OH
National Provider Identifier
1609893221
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
084357 Issued in OH
Practice address
701 Tech Center Dr
Gahanna, OH 43230-1987
Phone
(614) 396-2684
Fax
(614) 396-2480
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 084357 OH Primary

Addresses

Primary practice location

701 Tech Center Dr
Gahanna, OH 43230-1987

Mailing address

701 Tech Center Dr Ste 250
Gahanna, OH 43230-1987
Phone (614) 944-4800

Other practice location 1

1030 Refugee Rd Ste 299
Pickerington, OH 43147-9755
Phone (614) 396-2684

Other practice location 2

350 W Wilson Bridge Rd
Worthington, OH 43085-2217
Phone (614) 796-2900

Other practice location 3

701 Tech Center Dr Ste 200
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 4

701 Tech Center Dr Ste 100
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 5

620A Morrison Rd
Gahanna, OH 43230-5327
Phone (614) 396-2684

Other identifiers 3

IdentifierTypeStateIssuer
P00168055OtherRAILROAD MEDICARE
000000337155OtherANTHEM
2490175MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040624001311 OH Practitioner - Urology 1658357363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Urology Group, LLC.Group PAC ID 5395758882, 48 clinicians

Practice addresses (Care Compare)

1509 Stonecreek Dr S
Pickerington, OH 43147-9836
Phone (614) 396-2684

620 A Morrison Rd
Gahanna, OH 43230-5327

701 Tech Ctr Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684

8200 Hazelton-Etna Rd
Suite 200
Pastaskala, OH 43062
Phone (800) 720-0505

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084357OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Urology Group, LLC Urology CurrentSince Nov 1, 2008 Accepting new patients
Fairfield Healthcare Professionals Inc Current Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Feb 7, 2022 Accepting new patients
Central Ohio Urology Group, LLC Urology CurrentSince Nov 1, 2008 Accepting new patients
Central Ohio Urology Surgery Center, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

620 Morrison Rd
#A
Gahanna, OH 43230

701 Tech Center Dr
Ste 200
Gahanna, OH 43230
Phone (614) 396-2670

701 Tech Center Dr
Ste 120
Gahanna, OH 43230

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 203
Lancaster, OH 43130
Phone (740) 687-8000

1509 Stonecreek Dr S
Pickerington, OH 43147
Phone (740) 653-2500

1030 Refugee Rd
Ste 299
Pickerington, OH 43147
Phone (614) 523-1111

495 Cooper Rd
Ste 320
Westerville, OH 43081
Phone (614) 627-1310

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

350 W Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 796-2900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 9

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1609893221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Refugee Rd Ste 299",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479755",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Wilson Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430852217",
            "country_code": "US",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Tech Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Tech Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620A Morrison Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432305327",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "084357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00168055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000337155",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490175",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.