Individual provider Active NPI

Benjamin Boothby

  • Orthopaedic Surgery Physician
  • Toledo, OH
National Provider Identifier
1972964013
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34.015299 Issued in OH
Practice address
2409 Cherry St Ste 10
Toledo, OH 43608-2625
Phone
(419) 251-6787
Fax
(419) 251-6787
NPI assigned
Mar 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 34.015299 OH
Orthopaedic Surgery Physician 207X00000X 34.015299 OH Primary

Addresses

Primary practice location

2409 Cherry St Ste 10
Toledo, OH 43608-2625

Mailing address

2409 Cherry St Ste 10
Toledo, OH 43608-2625

Other practice location 1

7640 Sylvania Ave Ste B
Sylvania, OH 43560-9263
Phone (419) 517-8178

Other practice location 2

12623 Eckel Junction Rd Ste 2600
Perrysburg, OH 43551-1304
Phone (419) 442-0222

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
I20210809002198 OH Practitioner - Orthopedic Surgery 4082906979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2409 Cherry St
Suite 10
Toledo, OH 43608-2625
Phone (419) 251-6784

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3909 Orange Pl
Ste 1100
Beachwood, OH 44122
Phone (216) 896-1755

11100 Euclid Ave
Cleveland Heights, OH 44106

12623 Eckel Junction Rd
Ste 2600
Perrysburg, OH 43551
Phone (567) 368-1490

7640 Sylvania Ave
Ste B
Sylvania, OH 43560
Phone (419) 517-7500

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2409 Cherry St
Ste 10
Toledo, OH 43608
Phone (419) 251-6553

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Interoperability endpoints

  • Direct secure messaging: bboothby1035485@direct.bsmhealth.org

Organizations & group practices 5

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 6

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": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1972964013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST STE 10",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST STE 10",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625",
            "telephone_number": "419-251-6787",
            "fax_number": "419-251-6787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Sylvania Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435609263",
            "country_code": "US",
            "telephone_number": "419-517-8178",
            "fax_number": "419-517-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12623 Eckel Junction Rd Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435511304",
            "country_code": "US",
            "telephone_number": "419-442-0222",
            "fax_number": "567-368-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTHBY",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "OH",
            "license": "34.015299",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34.015299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.