Individual provider Active NPI

Alfred K Bediako, M.D.

  • Obstetrics & Gynecology Physician
  • Hillsdale, MI
National Provider Identifier
1477533297
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301059194 Issued in MI
Practice address
1711 S Hillsdale Rd
Hillsdale, MI 49242-8321
Phone
(517) 437-5390
Fax
(517) 437-5382
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301059194 MI Primary

Addresses

Primary practice location

1711 S Hillsdale Rd
Hillsdale, MI 49242-8321

Mailing address

1711 S Hillsdale Rd
Hillsdale, MI 49242-8321
Phone (517) 437-5390

Other identifiers 1

IdentifierTypeStateIssuer
102829600MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000374 MI Practitioner - Obstetrics/Gynecology 0941499768 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Feb 1, 2021 Accepting new patients

Locations

1711 S Hillsdale Rd
Hillsdale, MI 49242
Phone (517) 437-1735

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

451 Hidden Meadows Dr
Ste 220
Hillsdale, MI 49242
Phone (517) 437-5395

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1477533297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428321",
            "telephone_number": "517-437-5390",
            "fax_number": "517-437-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428321",
            "telephone_number": "517-437-5390",
            "fax_number": "517-437-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDIAKO",
        "first_name": "ALFRED",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301059194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102829600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.