Individual provider Active NPI

Benjamin Tritle, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1861781312
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
131458 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(216) 444-2200
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 35.131458 OH
Diagnostic Radiology Physician 2085R0202X 131458 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

4039 Meadowbrook Blvd
University Heights, OH 44118-3859

Other identifiers 1

IdentifierTypeStateIssuer
131458MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170620000781 OH Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6800164666 Reassigns benefits to 3 organizations
I20200203001168 IN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6800164666 Reassigns benefits to 1 organization
I20200217004637 KY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6800164666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800

11333 Cornell Park Dr
Suite 200
Blue Ash, OH 45242-1813
Phone (513) 751-6667

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

2925 Vernon PL
Cincinnati, OH 45219-2425

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

7372 Liberty One Dr
Liberty Township, OH 45044-8872
Phone (513) 751-6667

8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 793-3933

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131458OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. CurrentSince Aug 9, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Tri State Urologic Services PSC Inc Vascular & Interventional Radiology CurrentSince Aug 1, 2024 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Aug 1, 2024 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
B&D Radiology Partners PLLC Diagnostic Radiology PastSince Sep 1, 2017 Accepting new patients

Locations (25 of 34)

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

7200 Alexandria Pike
Alexandria, KY 41001
Phone (859) 344-5652

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

375 Thomas More Pkwy
Ste 209
Crestview Hills, KY 41017
Phone (859) 341-4842

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

500 Thomas More Pkwy
Ste 2
Crestview Hls, KY 41017
Phone (859) 341-4842

600 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-6382

830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

560 S Loop Rd
Ste 100
Edgewood, KY 41017

413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800

4123 Olympic Blvd
Ste 150
Erlanger, KY 41018
Phone (859) 301-2999

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

7830 Connector Dr
Florence, KY 41042
Phone (859) 525-2994

10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070

8460 US Highway 42
Florence, KY 41042
Phone (859) 282-0911

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

2200 Conner Rd
Hebron, KY 41048
Phone (859) 344-5652

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

135 Courthouse Xing
Independence, KY 41051
Phone (859) 301-0990

330 Roland Ave
Owenton, KY 40359
Phone (502) 484-3663

120 Progress Way
Owenton, KY 40359
Phone (502) 227-2229

Interoperability endpoints

  • Direct secure messaging: bentritle@tsus.allscriptsdirect.net

Organizations & group practices 8

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 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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1861781312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 MEADOWBROOK BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITLE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.131458",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "131458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131458",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.