Individual provider Active NPI

Benjamin Jacob Tishman, D.O.

  • Emergency Medicine Physician
  • Cleveland, OH
National Provider Identifier
1942508577
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.010631 Issued in OH
Practice address
1730 W 25TH St
Cleveland, OH 44113-3108
Phone
(216) 363-2466
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.010631 OH Primary

Addresses

Primary practice location

1730 W 25TH St
Cleveland, OH 44113-3108

Mailing address

1730 W 25TH St
Cleveland, OH 44113-3108
Phone (216) 363-2466

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
I20131024000348 OH Practitioner - Emergency Medicine 3375778582 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Emergency Specialists LLCGroup PAC ID 4587807854, 14 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians
Ues Geneva LLCGroup PAC ID 4789827064, 14 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039
Phone (330) 493-4443

29000 Ctr Ridge Rd
Westlake, OH 44145-5293
Phone (440) 835-8000

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9349

870 W Main St
Geneva, OH 44041-1219
Phone (240) 686-2300

Hospital & facility affiliations

  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308
  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002
  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ues Geauga, LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Ues Geneva LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
The Metrohealth System Emergency Medicine CurrentSince Aug 3, 2015 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
The Metrohealth System CurrentSince Aug 3, 2015 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Mar 1, 2024 Accepting new patients
University Emergency Specialists LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Pomerene Hospital CurrentSince Jan 13, 2024 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Sep 16, 2013 Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
  • Direct secure messaging: btishman566070@ehrdirect.uhhospitals.org

Organizations & group practices 12

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1942508577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-363-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-363-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISHMAN",
        "first_name": "BENJAMIN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.