Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin M Mack, MD

Individual provider Emergency Medicine Physician · NPI 1649402249

Benjamin M Mack, MD is an Emergency Medicine in Kettering, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2009, 17 years ago. Practices with Valley Emergency Physicians Ohio LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
17
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
KY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 384-6800
Fax: (937) 384-6839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 45040 (KY)

Record details

NPI number1649402249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 14, 2009
Last updated in NPPESOctober 22, 2012
Mailing address3535 Southern Blvd, Kettering, OH 45429-1221

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Valley Emergency Physicians Ohio Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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