Active NPI
Benjamin Robert Krull, PA-C
- Physician Assistant
- Bucyrus, OH
National Provider Identifier
1750797296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006297RX
- Practice address
- 725 N Sandusky Ave Ste 1
Bucyrus, OH 44820-1463 - Phone
- (419) 562-7557
- Fax
- (419) 562-1715
- NPI assigned
- Jul 4, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.006297RX | OH | Primary |
Addresses
Primary practice location
725 N Sandusky Ave Ste 1
Bucyrus, OH 44820-1463
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Other practice location 1
730 W Market St
Lima, OH 45801-4602
Phone (419) 227-3361
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkrull1152261@direct.ohiohealth.com | OhioHealth Physician Group, Inc. |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200310000611 | OH | Practitioner - Physician Assistant | 8022446848 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohiohealth Corporation
Practice addresses (Care Compare)
393 E Town St
Columbus, OH 43215-4799
725 N Sandusky Ave
Bucyrus, OH 44820-1463
Phone (419) 562-4966
Hospital & facility affiliations
- Bucyrus Community Hospital
- Marion General Hospital
- Ohiohealth Mansfield Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
725 N Sandusky Ave
Ste 1
Bucyrus, OH 44820
Phone (419) 562-7557
Dept L3652
Columbus, OH 43260
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
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.
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Hospital & facility affiliations 5
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": "1404432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1750797296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N SANDUSKY AVE STE 1",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448201463",
"telephone_number": "419-562-7557",
"fax_number": "419-562-1715"
}
],
"practiceLocations": [
{
"address_1": "730 W Market St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458014602",
"country_code": "US",
"telephone_number": "419-227-3361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRULL",
"first_name": "BENJAMIN",
"middle_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-04",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006297RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkrull1152261@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group, Inc.",
"address_1": "725 N Sandusky Ave Ste 1",
"city": "Bucyrus",
"state": "OH",
"country_code": "US",
"postal_code": "448201463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.