NPIMap

Individual provider Active NPI

Michael Paul Stellmaker, M.D.

  • Surgery Physician
  • Duluth, MN
National Provider Identifier
1417227661
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59582 Issued in MN
Practice address
920 E 1St St
Suite 302
Duluth, MN 55805-2201
Phone
(218) 249-6050
Fax
(218) 249-6055
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT-198016-T PA
Surgery Physician 208600000X 59582 MN Primary

Addresses

Primary practice location

920 E 1St St
Suite 302
Duluth, MN 55805-2201

Mailing address

920 E 1St St
Suite 302
Duluth, MN 55805-2201
Phone (218) 249-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150820010327 MN Practitioner - General Surgery 4981919990 Reassigns benefits to 3 organizations
I20151230000564 WI Practitioner - General Surgery 4981919990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1011 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7000

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860

325 11TH Ave
Two Harbors, MN 55616-1300
Phone (218) 834-7300

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5439

920 E 1St St
Duluth, MN 55805-2225

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT-198016-TPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake View Memorial Hospital, Inc CurrentSince Oct 13, 2025 Accepting new patients
Lake View Memorial Hospital, Inc CurrentSince Oct 13, 2025 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jan 1, 2016 Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince Oct 13, 2025 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Sep 1, 2015 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Sep 1, 2015 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth Surgery Current Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

920 E 1st St
Ste 302
Duluth, MN 55805
Phone (218) 249-6050

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900

Interoperability endpoints

  • Direct secure messaging: michael.stellmaker@slk.direct.slhduluth.com
  • Direct secure messaging: mstellmaker237590@direct.aspirus.org
  • Direct secure messaging: michael.stellmaker@lkv.direct.slhduluth.com

Organizations & group practices 10

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1417227661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST",
            "address_2": "SUITE 302",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052201",
            "telephone_number": "218-249-6050",
            "fax_number": "218-249-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST",
            "address_2": "SUITE 302",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052201",
            "telephone_number": "218-249-6050",
            "fax_number": "218-249-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLMAKER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT-198016-T",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "59582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.