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DR. BENJAMIN RANDALL HART M.D.
NPI 1609294271
Internal Medicine - Gastroenterology in Toledo, OH

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
1125 HOSPITAL DR STE 1620, TOLEDO, OH 43614(419) 383-6105(419) 383-2874 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2025, Dec 12, 2022, Apr 17, 2020 (3 updates tracked since 2020).

About Dr. Benjamin Randall Hart M.d. NPPES

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

DR. BENJAMIN RANDALL HART M.D. (NPI 1609294271) is an individual gastroenterology provider in Toledo, Ohio, licensed in Michigan (4301118734) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1609294271
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BENJAMIN RANDALL HARTCredential: M.D.
Location Address1125 HOSPITAL DR STE 1620Toledo, OH 43614-8001
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5322
Phone(419) 383-6105
Fax(419) 383-2874
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1609294271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MI · 4301118734✔ Licensed in OH · 35.138576
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301104782 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1125 HOSPITAL DR STE 1620, Toledo, OH 43614
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000
Location 22799 W Grand Blvd, 2799 W. Grand BoulevardDetroit, MI 48202-2608 · Phone (313) 916-2600
Location 32100 W Central Ave Ste 200Toledo, OH 43606-3817 · Phone (567) 420-1600 · Fax (567) 420-1634
Location 43000 Arlington AveToledo, OH 43614-2595 · Phone (419) 383-4000

Other Identifiers 1

Medicaid0414930OH

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

Dr. Benjamin Randall Hart M.d. 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 ID4587880422
PECOS Enrollment IDI20200722003598
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

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

University Of Toledo Physicians, LLC
0.1 mi
Sports Medicine
3000 ARLINGTON AVE
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 522 clinicians in this Medicare group
NPI 1215240676 (419) 383-3761
Regents Of The University Of Michigan
44 mi
Primary Podiatric Medicine
400 E EISENHOWER PKWY, SUITE B
Ann Arbor, MI 48108
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
NPI 1770508350 (734) 647-5871

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services62 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services24 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 3

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

MS. ROBERTA LAY NP-C
Nurse Practitioner (Family)
1125 HOSPITAL DR STE 1620
TOLEDO, OH 43614
Lucas County (419) 383-6105
SAMI I M GHAZALEH MD
Internal Medicine (Gastroenterology)
1125 HOSPITAL DR STE 1620
TOLEDO, OH 43614
Lucas County (419) 383-6105
AMANDA D ENIX NP
Nurse Practitioner (Family)
1125 HOSPITAL DR STE 1620
TOLEDO, OH 43614
Lucas County (419) 383-6105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Hart's NPI number?

The NPI number for Benjamin Hart is 1609294271. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Benjamin Hart located?

Benjamin Hart practices at 1125 Hospital Dr Ste 1620, Toledo, OH 43614. The listed phone number is (419) 383-6105.

What is Benjamin Hart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Benjamin Hart enrolled in Medicare?

Yes. Benjamin Hart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Hart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Hart reassigns Medicare benefits to 2 organizations: University Of Toledo Physicians, LLC (Toledo, OH) and Regents Of The University Of Michigan (Ann Arbor, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Hart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Hart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 4 other insurers list Benjamin Hart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Hart affiliated with any hospitals?

According to CMS data, Benjamin Hart is affiliated with University Of Toledo Medical Center and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Hart was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.