Active NPI
Benjamin Martin Callahan, MD
- Emergency Medicine Physician
- Louisville, KY
National Provider Identifier
1609923481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 41620
- Practice address
- 1 Audubon Plaza Dr
Louisville, KY 40217-1318 - Phone
- (502) 634-6767
- Fax
- (502) 634-6775
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 41620 | KY | Primary |
Addresses
Primary practice location
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Mailing address
PO Box 36218
Louisville, KY 40233-6218
Phone (502) 634-6767
Other practice location 1
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000786183 | Other | KY | ANTHEM BC/BS |
| 50042932 | Other | KY | PASSPORT |
| 200927140 | Medicaid | IN | |
| 7100029740 | Medicaid | KY |
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
- Emergency Medicine
- Education
- University of Kentucky College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Hospital & facility affiliations
- Saint Joseph Hospital
- CHI Saint Joseph Flaget Memorial Hospital
- Saint Joseph London
- CHI Saint Joseph Berea NF
- Saint Joseph Mount Sterling
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| New Lexington Clinic PSC | Current | Accepting new patients | |
| Saint Joseph Health System, Inc | Past | Accepting new patients | |
| Kentuckiana Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bardstown, KY
- NPI 1871588772
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Mt Sterling, KY
- NPI 1679679146
-
- Critical Access Hospital
- Berea, KY
- NPI 1740488386
-
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1609923481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36218",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402336218",
"telephone_number": "502-634-6767",
"fax_number": "502-634-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AUDUBON PLAZA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171318",
"telephone_number": "502-634-6767",
"fax_number": "502-634-6775"
}
],
"practiceLocations": [
{
"address_1": "1221 S Broadway",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405042701",
"country_code": "US",
"telephone_number": "859-258-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "BENJAMIN",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "41620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000786183",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50042932",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200927140",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100029740",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.