Active NPI
Benjamin Tate Fedeles, M.D.
- Critical Care Medicine (Anesthesiology) Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 35.142433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of South Florida College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Arlington Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Beacon Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesia Group Practice, Inc | Anesthesiology | Current | Accepting new patients |
| Trihealth H LLC | Critical Care Medicine | Current | Accepting new patients |
| Dayton Anesthesia & Pain Services, LLC | Anesthesiology | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Critical Care Medicine | Current | Accepting new patients |
| PHS Anesthesia Billing, LLC | Anesthesiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Critical Care Medicine
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.