Individual provider Active NPI

John D Kolstoe, MD

  • Rheumatology Physician
  • Bemidji, MN
National Provider Identifier
1124043229
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
29139 Issued in MN
Practice address
1300 Anne St NW
Bemidji, MN 56601-5103
Phone
(218) 333-6000
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 29139 MN Primary

Addresses

Primary practice location

1300 Anne St NW
Bemidji, MN 56601-5103

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1401 E Lansing Dr
Suite 108
East Lansing, MI 48823-7787
Phone (517) 351-9386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060809000238 MI Practitioner - Internal MedicinePractitioner - Rheumatology 9830192095 Reassigns benefits to 1 organization
I20161013000003 MN Practitioner - RheumatologyPractitioner - Internal Medicine 9830192095

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of North Dakota School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua P June DOGroup PAC ID 6608155510, 5 clinicians

Practice addresses (Care Compare)

4052 Legacy Pkwy
Suite 200
Lansing, MI 48911-4285
Phone (517) 272-9700

Hospital & facility affiliations

  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as group
Quality
99.52
Improvement activities
40
Cost
43.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109308MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua P June DO Rheumatology CurrentSince Sep 13, 2021 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Beals Institute PC Rheumatology CurrentSince Sep 13, 2021 Accepting new patients

Locations

4052 Legacy Pkwy
Ste 200
Lansing, MI 48911
Phone (517) 272-9700

4333 W St Joe Hwy
Lansing, MI 48917
Phone (517) 321-1525

1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

Interoperability endpoints

  • Direct secure messaging: john.kolstoe.p1@direct.glcor.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1124043229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015103",
            "telephone_number": "218-333-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E Lansing Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237787",
            "country_code": "US",
            "telephone_number": "517-351-9386",
            "fax_number": "517-351-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLSTOE",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "29139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.