Individual provider Active NPI

Michael John Bielefeld, MD

  • Surgery Physician
  • Bowling Green, OH
National Provider Identifier
1295728079
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-06-6329B Issued in OH
Practice address
960 W Wooster St
Suite 208
Bowling Green, OH 43402-2644
Phone
(419) 352-9124
Fax
(419) 353-7334
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-06-6329B OH Primary

Addresses

Primary practice location

960 W Wooster St
Suite 208
Bowling Green, OH 43402-2644

Mailing address

745 Haskins Rd Ste B
Bowling Green, OH 43402-1600
Phone (419) 373-7607

Other identifiers 3

IdentifierTypeStateIssuer
P00670500OtherOHRR MEDICARE
H714600OtherOHMEDICARE-OH
0977126MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michael.bielefeldmd.p1@direct.whc.nextgenshare.com
Direct Messaging Address michael.bielefeldmd.p1@direct.whc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000119 OH Practitioner - General Surgery 4981673498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Health Company LLCGroup PAC ID 7911800461, 61 clinicians

Practice addresses (Care Compare)

960 W Wooster St
Suite 208
Bowling Green, OH 43402-2650
Phone (419) 352-9124

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy109
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux29
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Health Company LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

960 W Wooster St
Ste 208
Bowling Green, OH 43402
Phone (419) 352-9124

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

501 Van Buren St
Ste 202
Fostoria, OH 44830
Phone (419) 436-1035

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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 1

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1295728079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD STE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 208",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-352-9124",
            "fax_number": "419-353-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELEFELD",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-06-15",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-06-6329B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00670500",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-OH",
            "identifier": "H714600",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0977126",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.bielefeldmd.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "960 W Wooster St",
            "address_2": "Suite 208",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.bielefeldmd.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "960 W Wooster St",
            "address_2": "Suite 208",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.