Active NPI
Benjamin J Kittinger, M.D.
- Plastic Surgery Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 49916
- Practice address
- 2211 Mayfair Dr Ste 305
Owensboro, KY 42301-4572 - Phone
- (270) 688-3700
- Fax
- (270) 688-3709
- NPI assigned
- Jul 1, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | P4473 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 49916 | KY | |
| Plastic Surgery Physician | 208200000X | 49916 | KY | Primary |
Addresses
Primary practice location
2211 Mayfair Dr Ste 305
Owensboro, KY 42301-4572
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
1325 Triplett St # B
Owensboro, KY 42303-3163
Phone (270) 688-4325
Other practice location 2
510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100473780 | Medicaid | KY | |
| 300005700 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkittinger77679@direct.owensborohealth.org |
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
- Plastic and Reconstructive Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
2211 Mayfair Dr
Owensboro, KY 42301-4569
2211 Mayfair Dr
Suite 305
Owensboro, KY 42301-4572
Phone (270) 688-3700
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 30 |
| Melanoma (skin cancer) excision | 26 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4473 | TX | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients |
Locations
510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 305
Owensboro, KY 42301
Phone (270) 688-3700
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1000 Breckenridge St
Ste 303
Owensboro, KY 42303
Phone (270) 685-2392
1325 Triplett St
#B
Owensboro, KY 42303
Phone (270) 688-4235
Interoperability endpoints
- bkittinger77679@direct.owensborohealth.org
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.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Otolaryngology Physician
- Horse Cave, KY
- NPI 1891177556
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1649567355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MAYFAIR DR STE 305",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423014572",
"telephone_number": "270-688-3700",
"fax_number": "270-688-3709"
}
],
"practiceLocations": [
{
"address_1": "1325 Triplett St # B",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423033163",
"country_code": "US",
"telephone_number": "270-688-4325",
"fax_number": "270-687-4322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Ruby Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424312168",
"country_code": "US",
"telephone_number": "270-399-7900",
"fax_number": "270-399-7910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITTINGER",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "P4473",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "KY",
"license": "49916",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "KY",
"license": "49916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100473780",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300005700",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkittinger77679@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1000 Breckenridge St Ste 303",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423030877",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.