NPIMap

Individual provider Active NPI

Betlehem Semahge, M.D.

  • Family Medicine Physician
  • Fridley, MN
National Provider Identifier
1619401270
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64574 Issued in MN
Practice address
480 Osborne Rd NE
Fridley, MN 55432-2773
Phone
(763) 581-0600
Fax
(763) 581-6011
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64574 MN Primary

Addresses

Primary practice location

480 Osborne Rd NE
Fridley, MN 55432-2773

Mailing address

480 Osborne Rd NE
Fridley, MN 55432-2773
Phone (763) 581-0600

Other practice location 1

480 Osborne Rd NE
Fridley, MN 55432-2773
Phone (763) 581-0600

Other practice location 2

580 Rice St
Saint Paul, MN 55103-2148
Phone (612) 227-6551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001001352 MN Practitioner - Family Practice 0143595165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

580 Rice St
Saint Paul, MN 55103-2148
Phone (651) 227-6551

8559 Edinbrook Pkwy
Suite 100
Brooklyn Park, MN 55443-3728
Phone (763) 581-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64574MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Jan 20, 2025 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2023 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jan 20, 2025 Accepting new patients
North Memorial Health Care Current Accepting new patients
Fairview Express Care Current Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

8559 Edinbrook Pkwy
Ste 100
Minneapolis, MN 55443
Phone (612) 425-1888

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551

Interoperability endpoints

  • Direct secure messaging: bsemahge164929@direct.northmemorial.com

Organizations & group practices 7

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1619401270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OSBORNE RD NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322773",
            "telephone_number": "763-581-0600",
            "fax_number": "763-581-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OSBORNE RD NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322773",
            "telephone_number": "763-581-0600",
            "fax_number": "763-581-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Osborne Rd NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554322773",
            "country_code": "US",
            "telephone_number": "763-581-0600",
            "fax_number": "763-581-6011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Rice St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551032148",
            "country_code": "US",
            "telephone_number": "612-227-6551",
            "fax_number": "651-227-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMAHGE",
        "first_name": "BETLEHEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.