Healthcare Provider Details

I. General information

NPI: 1457524522
Provider Name (Legal Business Name): BEN M TSAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3265 STREAMSIDE DR
GREENWOOD IN
46143-7810
US

IV. Provider business mailing address

3265 STREAMSIDE DR
GREENWOOD IN
46143-7810
US

V. Phone/Fax

Practice location:
  • Phone: 317-490-7949
  • Fax:
Mailing address:
  • Phone: 317-490-7949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number51454
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number01059579A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: