Active NPI
Kaleb Bekele
- Emergency Medicine Physician
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5151013932
- Practice address
- 718 N Macomb St
Monroe, MI 48162-7815 - Phone
- (734) 240-8400
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5151013932 | MI | |
| Emergency Medicine Physician | 207P00000X | 5151013932 | MI | Primary |
Addresses
Primary practice location
718 N Macomb St
Monroe, MI 48162-7815
Mailing address
4808 Washtenaw Ave Apt A8
Ann Arbor, MI 48108-1444
Phone (804) 615-1235
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
950 W Wooster St
Bowling Green, OH 43402-2603
Phone (419) 373-7642
Hospital & facility affiliations
- Wood County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.39 of 100
- Quality
- 92.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.25 of 100
- Quality
- 96.55
- Improvement activities
- 40
- Cost
- 89.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013932 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Ultimate Care Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
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.
-
- Emergency Medicine Physician
- Bowling Green, OH
- NPI 1083202816
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, OH
- NPI 1790751253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1356901441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 WASHTENAW AVE APT A8",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081444",
"telephone_number": "804-615-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEKELE",
"first_name": "KALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5151013932",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5151013932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.