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NPISignal

Individual Healthcare Provider

Benjamin P Roose, M.D.

NPI Record: ActiveSurgery
NPI1609286509
Cadillac, Michigan

Provider's NPPES record last updated: April 24, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1609286509
Primary Specialty
Surgery
Practice Location
Cadillac, Michigan
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 9:11 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X

Provider-Reported License Information

Surgery (Michigan)
4301119289
Surgery (Illinois)
036.150773
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

927 S Carmel St

Cadillac, Michigan 49601-2547

Phone: (231) 876-3876

Additional Practice Location

220 S Park Ave Fl 3

Herrin, Illinois 62948

Phone: (618) 942-2002

Fax: (618) 351-6497

Additional Practice Location

14700 Lake Shore Dr

Charlevoix, Michigan 49720-1999

Phone: (231) 547-4024

Fax: (231) 547-8088

Additional Practice Location

825 N Center Ave

Gaylord, Michigan 49735-1592

Phone: (989) 731-7996

Fax: (989) 731-9151

Additional Practice Location

1100 E Michigan Ave

Grayling, Michigan 49738-1312

Phone: (989) 348-5461

Fax: (989) 348-5724

Additional Practice Location

1345 E Parkdale Ave

Manistee, Michigan 49660-9318

Phone: (231) 398-1740

Additional Practice Location

829 N Center Ave Ste 120

Gaylord, Michigan 49735-1598

Phone: (989) 731-7987

Record Information

Enumeration Date
April 30, 2014
Provider's NPPES Record Last Updated
April 24, 2025
Certification Date
April 24, 2025
NPISignal NPPES Dataset
August 2026

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