Individual provider Active NPI

Nicholas Andrew Bengal

  • Internal Medicine Physician
  • Mason, OH
National Provider Identifier
1932787058
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.017424 Issued in OH
Practice address
5440 Kings Island Dr
Mason, OH 45040-7931
Phone
(513) 637-9999
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 34.017424 OH Primary

Addresses

Primary practice location

5440 Kings Island Dr
Mason, OH 45040-7931

Mailing address

5440 Kings Island Dr
Mason, OH 45040-7931

Other practice location 1

2139 Auburn Ave Ste 2170
Cincinnati, OH 45219-2906
Phone (513) 585-4079

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000915 OH Practitioner - Internal Medicine 1759780901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 232 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1461

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2139 Auburn Ave
Ste 2170
Cincinnati, OH 45219
Phone (513) 585-2028

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

5440 Kings Island Dr
Mason, OH 45040
Phone (330) 994-4449

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Organizations & group practices 2

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1932787058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 KINGS ISLAND DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 KINGS ISLAND DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407931",
            "telephone_number": "513-637-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Auburn Ave Ste 2170",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-585-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENGAL",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.017424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.