Rafael Ernesto Ledesma Bilbao Jr., MD
Individual provider Active NPI Hospitalist Physician · Grand Rapids, MI
NPI 1164565974 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1164565974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 4301082270 (MI)
- Practice address
- 200 Jefferson Ave SE Ste 626
Grand Rapids, MI 49503-4502 - Phone
- (616) 685-5576
- Fax
- (616) 685-8910
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Health/Saint Mary'S Medical Group
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050
250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Spectrum Health
- Mary Free Bed Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070326000416 | MI | Practitioner - Hospitalist |
1850495136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Trinity Health - Michigan | Past | Accepting new patients | |
| Saint Mary'S Health Services | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
245 State St SE
Ste 1A
Grand Rapids, MI 49503
1471 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 685-3414
260 Jefferson Ave SE
Ste 206
Grand Rapids, MI 49503
Phone (616) 752-5432
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
245 State St SE
Ste 221
Grand Rapids, MI 49503
Phone (616) 685-1808
200 Jefferson Ave SE
Ste 626
Grand Rapids, MI 49503
Phone (616) 685-5039
1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4301082270 | MI | Yes |
| Internal Medicine Physician | 207R00000X | 4301082270 | MI |
Addresses
Primary practice location
200 Jefferson Ave SE Ste 626
Grand Rapids, MI 49503-4502
Mailing address
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5576
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbilbao32596@direct.trinity-health.org | Direct |
Other providers in Grand Rapids, MI
- Anne Marie Bigger
- Kelly Ann Bigger
- Matthew Joel Bigham
- Kathryn Bigsby
- Tamara Dawn Bigwood
- Craig M Bilbrey
- Wendy Bilgen
- Cindy Bilisko
- Jonyla Akuel Biliu
- Caitlyn Joyce Bilkovsky
All providers in Grand Rapids, MI · Hospitalist Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.