Individual provider Active NPI

Benjamin Tate Fedeles, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Cincinnati, OH
National Provider Identifier
1932561792
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
35.142433 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 475-8282
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.142433 OH
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 35.142433 OH Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 865-2246

Other practice location 2

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211111002828 OH Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 3375838121 Reassigns benefits to 6 organizations
I20230926002307 IN Practitioner - Anesthesiology 3375838121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Anesthesiology
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111

200 Medical Ctr Dr
Middletown, OH 45005-5200
Phone (513) 424-2111

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Arlington Anesthesia Partners LLC Anesthesiology CurrentSince Feb 16, 2025 Accepting new patients
Beacon Medical Group Inc Anesthesiology CurrentSince Sep 30, 2023 Accepting new patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Sep 30, 2024 Accepting new patients
Trihealth H LLC Critical Care Medicine CurrentSince Jun 6, 2023 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Anesthesiology CurrentSince Apr 10, 2023 Accepting new patients
University of Cincinnati Physicians Company, LLC Critical Care Medicine CurrentSince Sep 1, 2021 Accepting new patients
PHS Anesthesia Billing, LLC Anesthesiology CurrentSince Aug 11, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000

Interoperability endpoints

  • Direct secure messaging: bfedeles390634@direct.uchealth.com

Organizations & group practices 9

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 3

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1932561792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424402",
            "telephone_number": "513-865-2246",
            "fax_number": "513-865-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-475-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-865-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424402",
            "country_code": "US",
            "telephone_number": "513-865-2246",
            "fax_number": "513-865-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDELES",
        "first_name": "BENJAMIN",
        "middle_name": "TATE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.142433",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "OH",
            "license": "35.142433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.