Individual provider Active NPI

Benjamin German, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1740716281
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.161370 Issued in IL
Practice address
3219 W Carroll Ave
Chicago, IL 60624-2031
Phone
(872) 588-3580
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.161370 IL Primary

Addresses

Primary practice location

3219 W Carroll Ave
Chicago, IL 60624-2031

Mailing address

3219 W Carroll Ave
Chicago, IL 60624-2031
Phone (872) 588-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220920001428 IL Practitioner - Internal Medicine 5698001576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawndale Christian Health CenterGroup PAC ID 2264336346, 124 clinicians

Practice addresses (Care Compare)

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (872) 588-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.161370ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Health Affiliates CurrentSince Aug 1, 2022 Accepting new patients
Lawndale Christian Health Center CurrentSince Sep 2, 2022 Accepting new patients
Saint Anthony Health Affiliates Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lawndale Christian Health Center CurrentSince Sep 2, 2022 Accepting new patients
Lawndale Christian Health Center Current Accepting new patients

Locations

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

3219 W Carroll Ave
Chicago, IL 60624
Phone (872) 588-3000

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

4696 Paysphere Cir
Chicago, IL 60674

3860 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000

Interoperability endpoints

  • Direct secure messaging: bgerman690790@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1740716281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242031",
            "telephone_number": "872-588-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242031",
            "telephone_number": "872-588-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-08-31",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.161370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.