BENJAMIN LOUIS MEDINA CRNA
NPI 1043027352
Nurse Anesthetist, Certified Registered in Dayton, OH

Q: What is Benjamin Louis Medina's NPI number?

The NPI number for Benjamin Louis Medina is 1043027352. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Q: What is Benjamin Louis Medina's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since December 11, 2024Accepts Medicare Assignment

405 W GRAND AVE, DAYTON, OH 45405(937) 723-3200 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Benjamin Louis Medina Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN LOUIS MEDINA CRNA (NPI 1043027352) is an individual nurse anesthetist, certified registered in Dayton, Ohio, licensed in Maine (152607) and active in the NPI registry since December 2024. He is affiliated with Kettering Health Dayton and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043027352

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBENJAMIN LOUIS MEDINACredential: CRNA

Location Address405 W GRAND AVEDayton, OH 45405-7538

Mailing Address4045 Brookdale Ln Unit 7Dayton, OH 45440-4186 · (207) 975-0076

Phone(937) 723-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 11, 2024

NPPES CertifiedDecember 11, 2024

✔ NPI 1043027352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ME · 152607

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

405 W GRAND AVE, Dayton, OH 45405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Louis Medina Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678003415

PECOS Enrollment IDI20250210002158

Medicare Billing Reassignments

Medicare enrollment records show Benjamin Louis Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Anesthesia & Pain Services, LLC

Same address

Anesthesiology

405 W GRAND AVE
Dayton, OH 45405

Reassigned Medicare billing, Ohio enrollment
419 clinicians in this Medicare group

NPI 1629401898 (937) 723-3200

Peak Anesthesia Management LLC

35 mi

Nurse Anesthetist, Certified Registered

1118 FAIRINGTON DR
Sidney, OH 45365

Reassigned Medicare billing, Ohio enrollment
13 clinicians in this Medicare group

NPI 1427856236 (937) 203-0603

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARA MARTINEZ

Emergency Medicine