Active NPI
John D Kolstoe, MD
- Rheumatology Physician
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 29139
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060809000238 | MI | Practitioner - Internal Medicine | 9830192095 | Reassigns benefits to 1 organization |
| I20161013000003 | MN | Practitioner - Rheumatology | 9830192095 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Dakota School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.98 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 109308 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua P June DO | Rheumatology | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Beals Institute PC | Rheumatology | Current | 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
- 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.
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.