Boris Michael Beckert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35570 Issued in MN

Practice address

600 W 98TH St
Bloomington, MN 55420-4773

Phone

(502) 775-1211

Fax

(502) 775-1221

NPI assigned

Nov 1, 2005

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Family Practice

Education

University of Minnesota Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians

Hudson Physicians SCGroup PAC ID 2668607557, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spooner Health System Hospital, Spooner, WI, CCN 521332
• Ladd Memorial Hospital Hospital, Osceola, WI, CCN 521318
• North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
• Fairview Lakes Health Services Hospital, Wyoming, MN, CCN 240050
• Burnett Medical Center Hospital, Grantsburg, WI, CCN 521331

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• Direct secure messaging: bbeckert399741@fairview.direct-ci.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment Care Compare group
• Hudson Physicians, S.C.

  • Multi-Specialty Clinic/Center
  • Hudson, WI
  • NPI 1770916827

  MN

  Medicare reassignment Care Compare group
• Aitkin Community Hospital, Inc.

  dba Riverwood Healthcare Center

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Medicare reassignment NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• Fairview Clinics

  dba Fairview Clinics-Hiawatha

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Healtheast Medical Research Institute

  dba HealthEast Vadnais Heights Clinic

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Burnett Medical Center Inc

  • Critical Access Hospital
  • Grantsburg, WI
  • NPI 1225191687
  Medicare reassignment NPD
• Burnett Medical Center Inc

  dba Burnett Medical Center

  • Rural Health Clinic/Center
  • Grantsburg, WI
  • NPI 1356499784

  Family Medicine

  Medicare reassignment NPD
• Spooner Health System, Inc.

  • Critical Access Hospital
  • Spooner, WI
  • NPI 1518982628
  Medicare reassignment NPD
• Ladd Memorial Hospital

  dba Osceola Medical Center

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227
  Medicare reassignment
• Aitkin Community Hospital, Inc.

  dba Riverwood Pharmacy Aitkin

  • Community/Retail Pharmacy
  • Aitkin, MN
  • NPI 1497377287
  NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD

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

• North Memorial Health Care

  dba North Memorial Ambulance Service

  • Ambulance
  • Brooklyn Center, MN
  • NPI 1538195912

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  dba North Memorial Health Specialty Center - Robbinsdale

  • Medical Specialty Clinic/Center
  • Robbinsdale, MN
  • NPI 1699953000

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  dba North Memorial Health Hospital

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Care Compare affiliation
• Burnett Medical Center Inc

  • Critical Access Hospital
  • Grantsburg, WI
  • NPI 1225191687
  Care Compare affiliation
• Ladd Memorial Hospital

  dba Osceola Medical Center

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227
  Care Compare affiliation
• Spooner Health System, Inc.

  • Critical Access Hospital
  • Spooner, WI
  • NPI 1518982628
  Care Compare affiliation

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1528059375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 W BROADWAY",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111008",
            "telephone_number": "502-775-1211",
            "fax_number": "502-775-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 98TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204773",
            "telephone_number": "502-775-1211",
            "fax_number": "502-775-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Hazelwood St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091242",
            "country_code": "US",
            "telephone_number": "651-232-7800",
            "fax_number": "651-232-7940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 Eighth Street North",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560734773",
            "country_code": "US",
            "telephone_number": "507-217-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKERT",
        "first_name": "BORIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "41127",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "35570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alannah Beck
• Maxwell Alexander Beck, MD
• Brett R Becker, OTR
• Gabriella Mary Becker
• Sara Becker
• Becoming Behavioral Health & Wellness PLLC
• Sarsen Sadat Beder
• Emily Bedker
• Abdifatah Bedri
• Steven Begich, M.D.

• Family Medicine Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.