Active NPI
Musa Gokalp Bolkent, M.D.,M.P.H
- Pediatrics Physician
- Bemidji, MN
National Provider Identifier
1609256205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 79229
- Practice address
- 1611 Anne St NW
Bemidji, MN 56601-5114 - Phone
- (218) 333-5000
- NPI assigned
- Jun 9, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 79229 | MN | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | 79229 | MN | |
| Pediatrics Physician | 208000000X | MD22887 | ME |
Addresses
Primary practice location
1611 Anne St NW
Bemidji, MN 56601-5114
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
6 E Chestnut St
Augusta, ME 04330
Phone (207) 623-2977
Other practice location 2
4370 Kissena Blvd Apt 3F
Flushing, NY 11355-3772
Phone (347) 749-9485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029001121 | MN | Practitioner - Pediatric Medicine | 2264786284 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79229 | MN | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bemidji, MN
- NPI 1427567601
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 5074
Sioux Falls, SD 57117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1609256205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015114",
"telephone_number": "218-333-5000"
}
],
"practiceLocations": [
{
"address_1": "6 E Chestnut St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "04330",
"country_code": "US",
"telephone_number": "207-623-2977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4370 Kissena Blvd Apt 3F",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113553772",
"country_code": "US",
"telephone_number": "347-749-9485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLKENT",
"first_name": "MUSA",
"middle_name": "GOKALP",
"name_prefix": "Dr.",
"credential": "M.D.,M.P.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "79229",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MN",
"license": "79229",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD22887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.