Individual provider Active NPI

Benjamin G. Martin, MD

  • Urology Physician
  • Fishers, IN
National Provider Identifier
1942414800
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01069294A Issued in IN
Practice address
14300 E 138TH Ste a
Fishers, IN 46037-0087
Phone
(317) 813-1660
Fax
(317) 813-1667
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 01069294A IN Primary

Addresses

Primary practice location

14300 E 138TH Ste a
Fishers, IN 46037-0087

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 807-1262

Other identifiers 3

IdentifierTypeStateIssuer
1487680518OtherGROUP NPI
000000718633OtherINANTHEM PIN
201029090MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110719000097 IN Practitioner - Urology 1557539566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Cincinnati College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

14300 E 138TH St
BLDG a
Fishers, IN 46037-0087
Phone (317) 813-1660

355 Westfield Rd
Suite 120
Noblesville, IN 46060-1442
Phone (317) 770-5842

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069294AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Jun 15, 2023 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Aug 8, 2011 Accepting new patients
Urology of Indiana L.L.C. Urology CurrentSince Aug 8, 2011 Accepting new patients
Lutheran Medical Group LLC CurrentSince Oct 12, 2020 Accepting new patients
Lutheran Medical Group LLC CurrentSince Oct 12, 2020 Accepting new patients
Marion General Hospital CurrentSince Oct 23, 2015 Accepting new patients
Riverview Hospital CurrentSince Jun 15, 2023 Accepting new patients
Marion General Hospital CurrentSince Oct 23, 2015 Accepting new patients
Major Hospital Past Accepting new patients

Locations

12188A N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 564-5100

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

7910 W Jefferson Blvd
Ste 112
Fort Wayne, IN 46804
Phone (260) 969-7121

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

8902 N Meridian St
Ste 104
Indianapolis, IN 46260
Phone (317) 816-8960

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

8040 Clearvista Pkwy
Ste 370
Indianapolis, IN 46256
Phone (317) 813-1660

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

355 Westfield Rd
Ste 120
Noblesville, IN 46060
Phone (317) 776-0140

Interoperability endpoints

  • Direct secure messaging: urologyin@directaddress.net

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 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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1942414800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1262",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE A",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370087",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BENJAMIN",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01069294A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000718633",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "address_1": "14300 E 138th Ste A",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460370087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.